Organization Name: | HOMER DRUG COMPANY INC |
NPI Number: | 1669440962 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIM T. BOST (OWNER) |
Mailing Address: | 1228 Historic Homer Hwy Homer |
State: | GA US |
Postal Code: | 305472737 |
Phone Number: | 7066773223 |
Fax Number: | 7066773602 |
NPI Enumeration Date: | 03/10/2006 |
NPI Last Update Date: | 11/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | PHRE 5012 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |