Provider Demographics
NPI:1336893080
Name:TARPLEY DRUG COMPANY
Entity Type:Organization
Organization Name:TARPLEY DRUG COMPANY
Other - Org Name:LEE-GOODRUM PHARMACY LTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:TARPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-253-1121
Mailing Address - Street 1:40 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-1200
Mailing Address - Country:US
Mailing Address - Phone:770-253-1121
Mailing Address - Fax:
Practice Address - Street 1:40 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-1200
Practice Address - Country:US
Practice Address - Phone:770-253-1121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TARPLEY DRUG COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-10
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy