MEDICARE: G&G DRUGS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	PH0011820	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P0418	OTHER	FL	BCBSFL

General Provider Information

NPI Number	:	1821074634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G&G DRUGS, INC

Provider Business Mailing Address
First Line	:	115 NW SANTA FE BLVD
Second Line	:
City	:	HIGH SPRINGS
State	:	FL
Zip	:	32643-4301
Country	:	US
Telephone Number	:	386-454-1382
Fax Number	:	386-454-5734

Provider Business Practice Location Address
First Line	:	115 NW SANTA FE BLVD
Second Line	:
City	:	HIGH SPRINGS
State	:	FL
Zip	:	32643-4301
Country	:	US
Telephone Number	:	386-454-1382
Fax Number	:	386-454-5734

Authorized Official
Title or Position	:	V.P.
Name	:	MRS. PATRICIA LONG
Credential	:
Telephone Number	:	386-698-3737

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	08/22/2020

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Directions to “G&G DRUGS, INC ” Practice Location

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