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Organization
WEST GEORGIA HOME MEDICAL EQUIPMENT CO INC
Active
Organization
WEST GEORGIA HOME MEDICAL EQUIPMENT CO INC
Active
Other names
HOLMES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY PATRICK PRATHER (OWNER)
(706) 884-7301
Entity
Organization
Contact information
Practice address
136 COMMERCE AVE, LAGRANGE, GA 30240-2338
(706) 884-7301
(706) 845-0687
Mailing address
PO BOX 972, LAGRANGE, GA 30241-0017
(706) 884-7301
(706) 845-0687
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005835
GA
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Enumeration date
07/29/2006
Last updated
01/19/2021
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