# MAK PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MAK PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023263977
- **Authorized official:** ELIZABETH MILLSAPS (PHARMACIST/CEO)
- **Authorized official phone:** (229) 336-7654

## Contact information

- **Practice address:** 159 E BROAD ST, CAMILLA, GA 31730-1842
- **Practice address phone:** (229) 336-7654
- **Practice address fax:** (229) 336-5615
- **Mailing address:** PO BOX 394, CAMILLA, GA 31730-0394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE009536 | GA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/19/2008
- **Last updated:** 03/09/2009