First America Pharmacy INC
Pharmacy in Valdosta, GA. Organization (NPI-2).
NPI number1124100912
StatusActive
Last updated in NPPESJun 16, 2011
Details
- NPI
- 1124100912
- Entity type
- Organization (NPI-2)
- Legal business name
- First America Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Oct 20, 2006
- Last updated
- Jun 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | PHRE006796 | GA | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Amerimed Pharm And Equipment (Doing Business As)
Practice location
3782 Old Us Highway 41 NSuite B
Valdosta, GA 31602-6834
Phone 229-253-0067 · Fax 229-253-9010
Mailing address
3782 Old Us Highway 41 NSuite B
Valdosta, GA 31602-6834
Phone 229-253-0067 · Fax 229-253-9010
Authorized official
William C. Allen
Owner
2292530067
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