Provider Demographics
NPI:1114537594
Name:CRICKET DRUGS, INC
Entity Type:Organization
Organization Name:CRICKET DRUGS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:229-310-0964
Mailing Address - Street 1:PO BOX 59
Mailing Address - Street 2:
Mailing Address - City:SHELLMAN
Mailing Address - State:GA
Mailing Address - Zip Code:39886-0059
Mailing Address - Country:US
Mailing Address - Phone:229-768-3000
Mailing Address - Fax:229-768-3005
Practice Address - Street 1:114 HANCOCK ST S
Practice Address - Street 2:
Practice Address - City:FORT GAINES
Practice Address - State:GA
Practice Address - Zip Code:39851-4338
Practice Address - Country:US
Practice Address - Phone:229-768-3000
Practice Address - Fax:229-768-3005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-31
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy