Provider Demographics
NPI:1184660722
Name:DAN'S DRUGS, INC.
Entity Type:Organization
Organization Name:DAN'S DRUGS, INC.
Other - Org Name:DART DRUGS AND SURGICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER,PIC,AO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ELROD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:706-278-1900
Mailing Address - Street 1:1101 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-8742
Mailing Address - Country:US
Mailing Address - Phone:706-278-1900
Mailing Address - Fax:706-275-6655
Practice Address - Street 1:1101 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-8742
Practice Address - Country:US
Practice Address - Phone:706-278-1900
Practice Address - Fax:706-275-6655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336L0003X
GAPHRE0008263336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000025715AMedicaid
2012193OtherPK
0448680001Medicare NSC