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Organization
VILLAGE DRUG SHOP OF ATHENS INC
Active
Organization
VILLAGE DRUG SHOP OF ATHENS INC
Active
Other names
Village Drug Shop of Athens LTC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER RYAN THURMOND PHARMD (OWNER)
(706) 548-4444
Entity
Organization
Contact information
Practice address
740 PRINCE AVE STE 16, ATHENS, GA 30606-5900
(706) 548-4444
(706) 548-2193
Mailing address
740 PRINCE AVE STE 16, ATHENS, GA 30606-5900
(706) 548-4444
(706) 548-2193
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000303509A
—
GA
01
—
PHRE003245
PHARMACY LICENSE
GA
Enumeration date
04/16/2021
Last updated
03/07/2023
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