Provider Demographics
NPI:1427014802
Name:FULGHUM-CARR DRUG CO. INC.
Entity Type:Organization
Organization Name:FULGHUM-CARR DRUG CO. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EMILE
Authorized Official - Middle Name:LUGAND
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:706-465-2021
Mailing Address - Street 1:PO BOX 28
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:GA
Mailing Address - Zip Code:30828-0028
Mailing Address - Country:US
Mailing Address - Phone:706-465-2021
Mailing Address - Fax:706-465-2379
Practice Address - Street 1:466 MAIN ST
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:GA
Practice Address - Zip Code:30828-8108
Practice Address - Country:US
Practice Address - Phone:706-465-2021
Practice Address - Fax:706-465-2379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA110393336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy