Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clb Pharmacy Group LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1598858508

Clb Pharmacy Group LLC is a Durable Medical Equipment & Medical Supplies in Tifton, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

717 2nd St W
Tifton, GA 31794-4201
Phone: (229) 382-3711
Fax: (229) 387-7521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence PHRE003394 (GA)
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1598858508
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lucas Brown — Owner · (229) 563-6689
Other names Friendly City Pharmacy On 2nd; Moons Pharmacy Inc
NPI enumeratedOctober 2, 2006
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address717 2nd St W, Tifton, GA 31794-4201

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