Skidaway Village Pharmacy Inc in Savannah - Pharmacy

Skidaway Village Pharmacy Inc - NPI 1710022207

Skidaway Village Pharmacy Inc is a Pharmacy in Savannah, Georgia. Skidaway Village Pharmacy Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Skidaway Village Pharmacy Inc is 1710022207. The last update date is 2016-07-19.

Skidaway Village Pharmacy Inc's current location address is 1 Skidaway Village Walk, Savannah, Georgia. You can contact this provider via phone number 9125988669 and fax number 9125987208. The mailing address for Skidaway Village Pharmacy Inc is 1 Skidaway Village Walk, Savannah, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Skidaway Village Pharmacy Inc
Address 1 Skidaway Village Walk, Savannah, Georgia
Phone Number 9125988669
Fax Number 9125987208
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHARMACIST
Authorized Official Name Conley Paul Jason
Credentials PHARMD
Telephone Number 9125988669

NPI Number Detail

NPI Number 1710022207
Provider Enumeration Date 2007-02-21
Last Updated Date 2016-07-19

Provider Mailing Address Detail

Address 1 Skidaway Village Walk
City Savannah
State Georgia (GA)
Post Code 314112908
Phone Number 9125988669
Fax Number 9125987208

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No PHRE008485
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000895485A GA --
1133533 NCPDP
PHRE008485 GA PHARMACY LICENSE

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FAQs about Skidaway Village Pharmacy Inc

What is the Skidaway Village Pharmacy Inc's 1710022207?

The Skidaway Village Pharmacy Inc's NPI (National Provider Identifier) Number is 1710022207. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Skidaway Village Pharmacy Inc?

The Skidaway Village Pharmacy Inc is physically situated at 1 Skidaway Village Walk, in the city of Savannah, state of GA, with the postal code 314112908.

What is Skidaway Village Pharmacy Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Skidaway Village Pharmacy Inc is Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 333600000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1710022207 to Skidaway Village Pharmacy Inc?

The Centers for Medicare & Medicaid Services originally issued the 1710022207 to Skidaway Village Pharmacy Inc on 2007-02-21.

When was the information pertaining to Skidaway Village Pharmacy Inc most recently updated or revised?

The details related to Skidaway Village Pharmacy Inc, including its address, specialty, and other relevant information, were last updated or revised on 2016-07-19.

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