# UNIONVILLE DISCOUNT PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mike's Medical Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326110107
- **Authorized official:** MIKE ITEOGU PHARMD (OWNER PHARMACIST)
- **Authorized official phone:** (478) 742-1448

## Contact information

- **Practice address:** 1381 PIO NONO AVE, MACON, GA 31204-4633
- **Practice address phone:** (478) 746-2842
- **Practice address fax:** (478) 746-8362
- **Mailing address:** 1381 PIO NONO AVE, MACON, GA 31204-4633
- **Mailing address phone:** (478) 742-1448
- **Mailing address fax:** (478) 742-1428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 6785 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 03/07/2023