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Organization
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Active
Organization
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Active
Parent organization
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Other names
Middle Flint Behavioral Health Care Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Authorized official
ANGELA HOLT (CEO)
(229) 815-5454
Entity
Organization
Contact information
Practice address
415 N JACKSON ST, AMERICUS, GA 31709-3015
(229) 931-2470
(229) 931-2474
Mailing address
PO BOX 1348, AMERICUS, GA 31709-1348
(229) 931-2470
(229) 931-2474
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE008689
GA
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015416
PK
—
05
—
734807561A
—
GA
Enumeration date
08/02/2006
Last updated
02/06/2024
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