# VILLAGE DRUG SHOP AT ADVANTAGE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Village Drug Shop at Advantage LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457932956
- **Authorized official:** DR. CHRISTOPHER RYAN THURMOND PHARMD (OWNER)
- **Authorized official phone:** (706) 548-4444

## Contact information

- **Practice address:** 240 MITCHELL BRIDGE RD, ATHENS, GA 30606-2043
- **Practice address phone:** (706) 850-4955
- **Practice address fax:** (706) 850-4958
- **Mailing address:** 240 MITCHELL BRIDGE RD, ATHENS, GA 30606-2043
- **Mailing address phone:** (706) 850-4955
- **Mailing address fax:** (706) 850-4958

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2021
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003158669A | — | GA |
| 01 | — | PHRE010132 | PHARMACY LICENSE | GA |