# LTC AT FOREST HEIGHTS PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FOREST HEIGHTS PHARMACY INC
- **Other names:** LTC At Forest Heights Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154191757
- **Legal business name:** FOREST HEIGHTS PHARMACY INC
- **Authorized official:** BENJAMIN TAYLOR ROSS (OWNER/PHARMACIST)
- **Authorized official phone:** (912) 489-7979

## Contact information

- **Practice address:** 4439 COUNTRY CLUB RD, STATESBORO, GA 30458-9188
- **Practice address phone:** (912) 489-7979
- **Practice address fax:** (912) 489-6744
- **Mailing address:** PO BOX 2698, STATESBORO, GA 30459-2698
- **Mailing address phone:** (912) 489-7979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/04/2024
- **Last updated:** 01/22/2024