Healthcare Provider Details

I. General information

NPI: 1295829885
Provider Name (Legal Business Name): PRICE RINGGOLD DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 02/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7566 NASHVILLE ST
RINGGOLD GA
30736-2361
US

IV. Provider business mailing address

PO BOX 339
RINGGOLD GA
30736-0339
US

V. Phone/Fax

Practice location:
  • Phone: 706-935-3131
  • Fax: 706-965-7036
Mailing address:
  • Phone: 706-935-3131
  • Fax: 706-965-7036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHRE002769
License Number StateGA

VIII. Authorized Official

Name: JINNA BROWN
Title or Position: MANAGER
Credential: PHARM D
Phone: 706-866-8475