Provider Demographics
NPI:1134285471
Name:NEELS PHARMACY INC
Entity Type:Organization
Organization Name:NEELS PHARMACY INC
Other - Org Name:STRICKLANDS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:REDDING
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:770-227-7772
Mailing Address - Street 1:330 E SOLOMON ST
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30223-3316
Mailing Address - Country:US
Mailing Address - Phone:770-227-7772
Mailing Address - Fax:770-227-7313
Practice Address - Street 1:330 E SOLOMON ST
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30223-3316
Practice Address - Country:US
Practice Address - Phone:770-227-7772
Practice Address - Fax:770-227-7313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE004463183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00032524AMedicaid
GA00032524AMedicaid