Southern Pain Institute P C
Community/Retail Pharmacy
1975 Highway 54 W Ste 100, Fayetteville
Georgia, 30214-4794
770-631-5158 770-632-3731
Southern Pain Institute P C is a Community/Retail Pharmacy in Fayetteville, Georgia. It is located at 1975 Highway 54 W Ste 100, Fayetteville and it's customer support contact number is 770-631-5158. The authorized person of Southern Pain Institute P C is Lynn Clavo who is Chief Pharmacist of the pharmacy and his contact number is 770-313-3380. Active license number of Southern Pain Institute P C is PHRE009784 for Community/Retail Pharmacy in Georgia.
Southern Pain Institute P C 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:
Southern Pain Institute P C 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: | Southern Pain Institute P C |
| Type: | Community/Retail Pharmacy |
| Location: | 1975 Highway 54 W Ste 100, Fayetteville,
Georgia, 30214-4794 |
| Phone: | 770-631-5158 |
| Fax: | 770-632-3731 |
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: | Lynn Clavo |
| Position: | Chief Pharmacist |
| Contact Number: | 770-313-3380 |
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: | 1750665584 |
| NPI Enumeration Date: | 28 Sep, 2011 |
| NPI Last Update On: | 20 Mar, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern Pain Institute P C are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHRE009784 | Georgia | Primary | |
| Compounding 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 |
| 1161784 | Other | | Ncpdp Provider Identification Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1975 Highway 54 W, Suite 100
Fayetteville, Georgia |
| Zip: | 30214-4794 |
| Phone Number: | 770-631-5158 |
| Fax Number: | 404-591-7959 |
Patients can reach Southern Pain Institute P C at
1975 Highway 54 W Ste 100, Fayetteville, Georgia or can
call on customer care at 770-631-5158.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.