# SKIDAWAY VILLAGE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VILLAGE WALK PHARMACY LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275083586
- **Authorized official:** JASON CONLEY (PRESIDENT)
- **Authorized official phone:** (912) 598-8669

## Contact information

- **Practice address:** 1 SKIDAWAY VILLAGE WALK, SAVANNAH, GA 31411-2908
- **Practice address phone:** (912) 598-8669
- **Practice address fax:** (912) 598-7208
- **Mailing address:** 1 SKIDAWAY VILLAGE WALK, SAVANNAH, GA 31411-2908
- **Mailing address phone:** (912) 598-8669
- **Mailing address fax:** (912) 598-7208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2016
- **Last updated:** 10/20/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2164713 | PK | — |