Healthcare Provider Details
I. General information
NPI: 1124112354
Provider Name (Legal Business Name): DEPENDABLE DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/03/2006
Last Update Date: 07/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
620 E FRANKLIN ST STE A
SYLVESTER GA
31791-7176
US
IV. Provider business mailing address
620 E FRANKLIN ST STE A
SYLVESTER GA
31791-7176
US
V. Phone/Fax
- Phone: 229-777-0777
- Fax: 229-777-0025
- Phone: 229-777-0777
- Fax: 229-777-0025
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | PHRE007898 |
| License Number State | GA |
VIII. Authorized Official
Name:
RAY
SEKBEIL
Title or Position: PRES
Credential: RPH
Phone: 229-777-0777