# UNIVERSAL PHARM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DOCTORS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508870155
- **Authorized official:** RANDY KEENE PHRM (OWNER)
- **Authorized official phone:** (478) 472-2040

## Contact information

- **Practice address:** 298 MEDICAL COURT, OGLETHORPE, GA 31068
- **Practice address phone:** (478) 472-2040
- **Practice address fax:** (912) 472-9822
- **Mailing address:** PO BOX 322, OGLETHORPE, GA 31068-0322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE006910 | GA | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 06/16/2016
