Dkl31092 Inc
Community/Retail Pharmacy
112 S Dooly St, Montezuma
Georgia, 31063-1604
478-472-7561 478-472-5887
Dkl31092 Inc is a Community/Retail Pharmacy in Montezuma, Georgia. It is located at 112 S Dooly St, Montezuma and it's customer support contact number is 478-472-7561. The authorized person of Dkl31092 Inc is Donald Lane, RPH who is Owner of the pharmacy and his contact number is 478-472-7561. Active license number of Dkl31092 Inc is PHRE003393 for Community/Retail Pharmacy in Georgia.
Dkl31092 Inc 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:
Dkl31092 Inc 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: | Dkl31092 Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 112 S Dooly St, Montezuma,
Georgia, 31063-1604 |
| Phone: | 478-472-7561 |
| Fax: | 478-472-5887 |
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: | Donald Lane |
| Credentials: | RPH |
| Position: | Owner |
| Contact Number: | 478-472-7561 |
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: | 1104881556 |
| NPI Enumeration Date: | 19 Apr, 2006 |
| NPI Last Update On: | 21 Apr, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dkl31092 Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHRE003393 | Georgia | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
| 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 |
| 1112527 | Other | | Ncpdp Provider Identification Number |
| 00927649A | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 250,
Montezuma, Georgia |
| Zip: | 31063-0250 |
| Phone Number: | -- |
Patients can reach Dkl31092 Inc at
112 S Dooly St, Montezuma, Georgia or can
call on customer care at 478-472-7561.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.