Vidalia Pharmacy Inc in Vidalia - Managed Care Organization Pharmacy
Vidalia Pharmacy Inc - NPI 1114969342
Vidalia Pharmacy Inc is a Managed Care Organization Pharmacy in Vidalia, Georgia. Vidalia Pharmacy Inc practices all healthcare services and medical treatments related to Managed Care Organization Pharmacy. The NPI Number for Vidalia Pharmacy Inc is 1114969342. The last update date is 2016-11-23.
Vidalia Pharmacy Inc's current location address is 209 Jackson St, Vidalia, Georgia. You can contact this provider via phone number 9125374134 and fax number 9125374169. The mailing address for Vidalia Pharmacy Inc is 209 Jackson St, Vidalia, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vidalia Pharmacy Inc |
|---|---|
| Address | 209 Jackson St, Vidalia, Georgia |
| Phone Number | 9125374134 |
| Fax Number | 9125374169 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bedingfield Walter |
| Telephone Number | 9125374134 |
NPI Number Detail
| NPI Number | 1114969342 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2016-11-23 |
Provider Mailing Address Detail
| Address | 209 Jackson St |
|---|---|
| City | Vidalia |
| State | Georgia (GA) |
| Post Code | 304744713 |
| Phone Number | 9125374134 |
| Fax Number | 9125374169 |
Provider's Primary Taxonomy Detail
| Speciality | Managed Care Organization Pharmacy |
|---|---|
| Taxonomy | 3336M0003X |
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Definition: A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. |
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What is the unique identification code assigned to Vidalia Pharmacy Inc by the Centers for Medicare & Medicaid Services?
The Vidalia Pharmacy Inc has been issued the NPI (National Provider Identifier) 1114969342. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Vidalia Pharmacy Inc is geographically located?
The Vidalia Pharmacy Inc is physically situated at the following location: 209 Jackson St, Vidalia, GA, 304744713.
What is the Vidalia Pharmacy Inc's specialty and taxonomy code?
The Vidalia Pharmacy Inc's specialty is Managed Care Organization Pharmacy, and the corresponding taxonomy code is 3336M0003X.
On what date did Vidalia Pharmacy Inc receive its 1114969342 assignment from the Centers for Medicare & Medicaid Services?
The Vidalia Pharmacy Inc was assigned its 1114969342 on 2006-06-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Vidalia Pharmacy Inc most recently updated or refreshed?
The details pertaining to the Vidalia Pharmacy Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-11-23.