# 1ST AMERICA DRUGS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225143464
- **Authorized official:** MR. MICHAEL SUTTLES HICKS R.PH. (PHARMACY MANAGER)
- **Authorized official phone:** (229) 242-3060

## Contact information

- **Practice address:** 212 NORTHSIDE DR, VALDOSTA, GA 31602-1858
- **Practice address phone:** (229) 242-3060
- **Practice address fax:** (229) 316-1366
- **Mailing address:** 212 NORTHSIDE DR, VALDOSTA, GA 31602-1858
- **Mailing address phone:** (229) 242-3060
- **Mailing address fax:** (229) 316-1366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE006491 | GA | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 08/22/2020