NPI 1619945912 · live from the CMS NPI Registry
A Carter Clements Jr
Pharmacist in Rhine, GA. National Provider Identifier 1619945912, active.
NPI record
| NPI | 1619945912 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 119 1st St, Rhine, GA 31077 |
| Practice phone | 229-385-5351 |
| Mailing address | Po Box 100, Rhine, GA 31077 |
| Enumerated | March 10, 2006 |
| Last updated | March 11, 2024 |
| Authorized official | Andy Clements, Owner/Pharmacist |
| Other names | Rhine Drug Company |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | 004653 (GA) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 004653 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.