Provider Demographics
NPI:1821182239
Name:BATTS DRUG COMPANY INC
Entity Type:Organization
Organization Name:BATTS DRUG COMPANY INC
Other - Org Name:BATTS DRUG COMPANY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAVEY
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:478-892-9021
Mailing Address - Street 1:115 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:HAWKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31036-8420
Mailing Address - Country:US
Mailing Address - Phone:478-892-9021
Mailing Address - Fax:478-892-9156
Practice Address - Street 1:115 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:HAWKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31036-8420
Practice Address - Country:US
Practice Address - Phone:478-892-9021
Practice Address - Fax:478-892-9156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE0023203336C0003X, 3336C0004X, 3336L0003X, 3336C0003X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2012437OtherPK
GA284765Medicaid
0602320001Medicare NSC