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Organization
COLLEGE PHARMACY, INC.
Active
Organization
COLLEGE PHARMACY, INC.
Active
Other names
East Georgia Home Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JAMES GUERNSEY (MANAGER)
(912) 489-4663
Entity
Organization
Contact information
Practice address
35 S MAIN ST, STATESBORO, GA 30458-5245
(912) 489-4663
(912) 489-3129
Mailing address
35 S MAIN ST, STATESBORO, GA 30458-5245
(912) 489-4663
(912) 489-3129
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
PHRE007767
GA
Other
Enumeration date
09/08/2006
Last updated
10/02/2007
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