Mobley'S Discount Pharmacy, Inc. #2

Organization Active NPI Community/Retail Pharmacy · Alma, GA

NPI 1194015073 · NPPES record last updated Apr 13, 2011

Key facts

NPI
1194015073
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
PHRE009657 (GA)
Legal business name
MOBLEY'S DISCOUNT PHARMACY, INC. #2
Practice address
215 E 16TH St
Alma, GA 31510-2911
Phone
(912) 632-6322
Fax
(912) 632-2246
NPI assigned
Apr 13, 2011
Organization subpart
No

Authorized official

Name
Clifford Mobley
Title
Pharmacist
Phone
(912) 383-7947

National Provider Directory

Locations

215 E 16th St
Alma, GA 31510
Phone (912) 632-6322

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE009657 GA Yes
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

215 E 16TH St
Alma, GA 31510-2911

Mailing address

215 E 16TH St
Alma, GA 31510-2911
Phone (912) 632-6322

Other identifiers

IdentifierTypeStateIssuer
1161328OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names

  • Mobley's Discount Pharmacy, Inc. #2 Doing business as

Other providers in Alma, GA

All providers in Alma, GA · Community/Retail Pharmacy in Georgia

Sources for this page

Verify at the official NPI Registry.