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Organization
FIRST AMERICA PHARMACY INC
Active
Organization
FIRST AMERICA PHARMACY INC
Active
Other names
AMERIMED PHARM AND EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C. ALLEN JR. RPH (OWNER)
(229) 253-0067
Entity
Organization
Contact information
Practice address
3782 OLD US HIGHWAY 41 N, SUITE B, VALDOSTA, GA 31602-6834
(229) 253-0067
(229) 253-9010
Mailing address
3782 OLD US HIGHWAY 41 N, SUITE B, VALDOSTA, GA 31602-6834
(229) 253-0067
(229) 253-9010
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE006796
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00768501A
—
GA
01
—
1110624
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/20/2006
Last updated
06/16/2011
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