1750665584 SOUTHERN PAIN INSTITUTE P C

Community/Retail Pharmacy

Active

Basic Information

Organization Name
SOUTHERN PAIN INSTITUTE P C
Enumeration Date
September 28, 2011
Last Update
March 20, 2013
Authorized Official
LYNN CLAVO
CHIEF PHARMACIST
Phone: (770) 313-3380

Practice Location

Address
1975 HIGHWAY 54 W STE 100
FAYETTEVILLE, GA 302144794
Phone
(770) 631-5158
Fax
(770) 632-3731

Mailing Address

Address
1975 HIGHWAY 54 W
SUITE 100
FAYETTEVILLE, GA 302144794
Phone
(770) 631-5158
Fax
(404) 591-7959

Specialties & Taxonomies

Specialty Code Classification License State Primary
Compounding Pharmacy
Compounding Pharmacy
3336C0004X Pharmacy N/A N/A No
Pharmacy
333600000X Pharmacy N/A N/A No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy PHRE009784 GA Primary

Other Identifiers

Identifier Type State Issuer
1161784 01 N/A NCPDP PROVIDER IDENTIFICATION NUMBER

Frequently Asked Questions

What is SOUTHERN PAIN INSTITUTE P C's NPI number?
SOUTHERN PAIN INSTITUTE P C's NPI number is 1750665584.
Which doctor has NPI number 1750665584?
The doctor with NPI number 1750665584 is SOUTHERN PAIN INSTITUTE P C.
What is SOUTHERN PAIN INSTITUTE P C's practice address?
SOUTHERN PAIN INSTITUTE P C's practice address is 1975 HIGHWAY 54 W STE 100, FAYETTEVILLE, GA, 302144794.
Which doctor practices at 1975 HIGHWAY 54 W STE 100, FAYETTEVILLE, GA, 302144794?
SOUTHERN PAIN INSTITUTE P C practices at 1975 HIGHWAY 54 W STE 100, FAYETTEVILLE, GA, 302144794.
What is SOUTHERN PAIN INSTITUTE P C's mailing address?
SOUTHERN PAIN INSTITUTE P C's mailing address is 1975 HIGHWAY 54 W, SUITE 100, FAYETTEVILLE, GA, 302144794.
What is SOUTHERN PAIN INSTITUTE P C's phone number?
SOUTHERN PAIN INSTITUTE P C's phone number is (770) 631-5158.
Who is (770) 631-5158?
(770) 631-5158 is the phone number for SOUTHERN PAIN INSTITUTE P C.
What is SOUTHERN PAIN INSTITUTE P C's specialty?
SOUTHERN PAIN INSTITUTE P C's specialty is Community/Retail Pharmacy.
What type of doctor is SOUTHERN PAIN INSTITUTE P C?
SOUTHERN PAIN INSTITUTE P C is a Community/Retail Pharmacy.
Is SOUTHERN PAIN INSTITUTE P C a Community/Retail Pharmacy?
Yes, SOUTHERN PAIN INSTITUTE P C is a Community/Retail Pharmacy.
Is SOUTHERN PAIN INSTITUTE P C still practicing?
Yes, SOUTHERN PAIN INSTITUTE P C is currently practicing.
Is SOUTHERN PAIN INSTITUTE P C accepting new patients?
SOUTHERN PAIN INSTITUTE P C may be accepting new patients. Please call their office at (770) 631-5158 to inquire about availability.
Is NPI 1750665584 still active?
Yes, NPI 1750665584 is currently active.
Where does SOUTHERN PAIN INSTITUTE P C practice?
SOUTHERN PAIN INSTITUTE P C practices in FAYETTEVILLE, GA.