Provider Demographics
NPI:1801865886
Name:DENNIS DRUGS
Entity Type:Organization
Organization Name:DENNIS DRUGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHARMACIST IN CHARGE
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEEK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:478-374-5078
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:EASTMAN
Mailing Address - State:GA
Mailing Address - Zip Code:31023-0099
Mailing Address - Country:US
Mailing Address - Phone:478-374-5078
Mailing Address - Fax:478-374-0011
Practice Address - Street 1:205 MAIN ST
Practice Address - Street 2:
Practice Address - City:EASTMAN
Practice Address - State:GA
Practice Address - Zip Code:31023-6241
Practice Address - Country:US
Practice Address - Phone:478-374-5078
Practice Address - Fax:478-374-0011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005757183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0199200001Medicare ID - Type Unspecified