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Organization
THE HOSPITAL AUTHORITY OF MILLER COUNTY
Active
Organization
THE HOSPITAL AUTHORITY OF MILLER COUNTY
Active
Other names
MILLER COUNTY HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN RAU BACH PHARMACY (ADMINISTRATOR)
(229) 758-4949
Entity
Organization
Contact information
Practice address
209 N CUTHBERT ST, COLQUITT, GA 39837-3518
(229) 758-4245
(229) 758-9715
Mailing address
PO BOX 7, 209 N CUTHBERT STREET, COLQUITT, GA 39837-0007
(229) 758-4245
(229) 752-9715
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
PHRE008934
GA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003100181A
—
GA
01
—
2013346
PK
—
Enumeration date
10/22/2010
Last updated
11/03/2021
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