Provider Demographics
NPI:1265587901
Name:REFF DRUGS INC
Entity type:Organization
Organization Name:REFF DRUGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:OLA
Authorized Official - Middle Name:
Authorized Official - Last Name:REFFELL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:770-603-5555
Mailing Address - Street 1:751 WOODMONT DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-3834
Mailing Address - Country:US
Mailing Address - Phone:404-840-9934
Mailing Address - Fax:770-603-5565
Practice Address - Street 1:188 UPPER RIVERDALE RD
Practice Address - Street 2:#C
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-1108
Practice Address - Country:US
Practice Address - Phone:770-603-5555
Practice Address - Fax:770-603-5565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336L0003X, 3336S0011X
GAPHRE0091193336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2016469OtherPK
GA143081001AMedicaid