# MEDEX ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medex Specialty Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467732701
- **Authorized official:** HETAL THAKORE (OFFICER)
- **Authorized official phone:** (706) 434-1590

## Contact information

- **Practice address:** 811 13TH ST STE 10, AUGUSTA, GA 30901-2771
- **Practice address phone:** (706) 434-1590
- **Practice address fax:** (706) 434-1595
- **Mailing address:** 811 13TH ST, SUITE 10, AUGUSTA, GA 30901-2700
- **Mailing address phone:** (706) 434-1590
- **Mailing address fax:** (706) 434-1595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE009766 | GA | Yes |

## Other

- **Enumeration date:** 08/18/2011
- **Last updated:** 06/25/2013