Healthcare Provider Details

I. General information

NPI: 1396802609
Provider Name (Legal Business Name): PILLAR DRUG COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 04/03/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HIDDEN CREEK DR
GUYTON GA
31312-4590
US

IV. Provider business mailing address

1 HIDDEN CREEK DR
GUYTON GA
31312-4590
US

V. Phone/Fax

Practice location:
  • Phone: 912-772-9100
  • Fax: 912-772-9102
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHARLES HEINDEL
Title or Position: PHARMACIST IN CHARGE
Credential:
Phone: 912-772-9100