Clb Pharmacy Group Llc
Community/Retail Pharmacy
717 2nd St W, Tifton
Georgia, 31794-4201
229-382-3711 229-387-7521
Clb Pharmacy Group Llc is a Community/Retail Pharmacy in Tifton, Georgia. It is located at 717 2nd St W, Tifton and it's customer support contact number is 229-382-3711. The authorized person of Clb Pharmacy Group Llc is Lucas Brown who is Owner of the pharmacy and his contact number is 229-563-6689. Clb Pharmacy Group Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Clb Pharmacy Group Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Clb Pharmacy Group Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Clb Pharmacy Group Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 717 2nd St W, Tifton,
Georgia, 31794-4201 |
| Phone: | 229-382-3711 |
| Fax: | 229-387-7521 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Lucas Brown |
| Position: | Owner |
| Contact Number: | 229-563-6689 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1598858508 |
| NPI Enumeration Date: | 02 Oct, 2006 |
| NPI Last Update On: | 28 Jun, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clb Pharmacy Group Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | PHRE003394 | Georgia | Secondary | |
| Compounding Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2012857 | Other | | Pk |
| 00033855A | Medicaid | Georgia | |
| 00033855B | Medicaid | Georgia | |
Medicare Enrollment:
Clb Pharmacy Group Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1355467994 | O20120105000546 | Moons Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 717 2nd St W,
Tifton, Georgia |
| Zip: | 31794-4201 |
| Phone Number: | 229-382-3711 |
| Fax Number: | 229-387-7521 |
Patients can reach Clb Pharmacy Group Llc at
717 2nd St W, Tifton, Georgia or can
call on customer care at 229-382-3711.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.