# WINNERSVILLE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amerimed Long-Term Care Packaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225431745
- **Authorized official:** TROY ALLEN (GENERAL MANAGER)
- **Authorized official phone:** (229) 253-0067

## Contact information

- **Practice address:** 3782 OLD US HIGHWAY 41 N, SUITE B, VALDOSTA, GA 31602-6834
- **Practice address phone:** (229) 249-0100
- **Practice address fax:** (229) 253-9010
- **Mailing address:** PO BOX 4824, VALDOSTA, GA 31604-4824
- **Mailing address phone:** (229) 253-0067
- **Mailing address fax:** (229) 219-1588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE010063 | GA | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2014
- **Last updated:** 01/06/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2148607 | PK | — |