East Georgia Preventative Health Specialists, Llc in Metter - Compounding Pharmacy
East Georgia Preventative Health Specialists, Llc - NPI 1790908622
East Georgia Preventative Health Specialists, Llc is a Compounding Pharmacy in Metter, Georgia. East Georgia Preventative Health Specialists, Llc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for East Georgia Preventative Health Specialists, Llc is 1790908622. The last update date is 2020-08-22.
East Georgia Preventative Health Specialists, Llc's current location address is 150 S Leroy St Ste A, Metter, Georgia. You can contact this provider via phone number 9126857498 and fax number 9126853777. The mailing address for East Georgia Preventative Health Specialists, Llc is 150 S Leroy St Ste A, Metter, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Georgia Preventative Health Specialists, Llc |
|---|---|
| Address | 150 S Leroy St Ste A, Metter, Georgia |
| Phone Number | 9126857498 |
| Fax Number | 9126853777 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Stone Dean Bobby |
| Credentials | RPH, CDM |
| Telephone Number | 9126857498 |
NPI Number Detail
| NPI Number | 1790908622 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 150 S Leroy St Ste A |
|---|---|
| City | Metter |
| State | Georgia (GA) |
| Post Code | 304394631 |
| Phone Number | 9126857498 |
| Fax Number | 9126853777 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
| Licence No | PHRE008829 |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
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What is the unique identification code assigned to East Georgia Preventative Health Specialists, Llc by the Centers for Medicare & Medicaid Services?
The East Georgia Preventative Health Specialists, Llc has been issued the NPI (National Provider Identifier) 1790908622. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where East Georgia Preventative Health Specialists, Llc is physically located?
The East Georgia Preventative Health Specialists, Llc is situated at the following address: 150 S Leroy St Ste A, Metter, GA 304394631.
What is the East Georgia Preventative Health Specialists, Llc's area of specialization and corresponding taxonomy classification?
The East Georgia Preventative Health Specialists, Llc's specialty field is Compounding Pharmacy, and it falls under the taxonomy code 3336C0004X, which categorizes healthcare providers based on their specialties.
On what date did East Georgia Preventative Health Specialists, Llc receive its 1790908622 assignment from the Centers for Medicare & Medicaid Services?
The East Georgia Preventative Health Specialists, Llc was assigned its 1790908622 on 2007-04-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to East Georgia Preventative Health Specialists, Llc most recently updated or revised?
The information pertaining to East Georgia Preventative Health Specialists, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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