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General NPI Number Information
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NPI Number | 1962596320
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Entity Type | Organization
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Legal Business Name | LUMPKIN DRUGS INC.
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1163 27TH ST
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City | COLUMBUS
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State | GA
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Zip | 31904-8614
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Country | US
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Telephone | 706-322-8211
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Fax |
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Provider Business Mailing Address
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Address Line | 1163 27TH ST
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City | COLUMBUS
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State | GA
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Zip | 31904-8614
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Country | US
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Telephone | 706-322-8211
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Fax |
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Authorized Official
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Title or Position | VICE PRES
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Name | DR. JOHN COLQUITT LOGAN JR.
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Credential | PHARMD
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Telephone | 706-322-8211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE006124
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License Number State | GA
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