# PSI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ElderCare Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205828746
- **Authorized official:** MR. JAMES RUSTY LEE JR. RPH (PRESIDENT)
- **Authorized official phone:** (478) 783-1515

## Contact information

- **Practice address:** 4315 BELAIR FRONTAGE RD, AUGUSTA, GA 30909-9412
- **Practice address phone:** (888) 858-6051
- **Practice address fax:** (888) 858-6052
- **Mailing address:** 4315 BELAIR FRONTAGE RD, AUGUSTA, GA 30909-9412
- **Mailing address phone:** (888) 858-6051
- **Mailing address fax:** (888) 858-6052

## Taxonomy

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

## Other

- **Enumeration date:** 08/19/2005
- **Last updated:** 09/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00835942A | — | GA |
| 01 | — | 1146415 | NCPDP | GA |