# OCILLA PHARMACY, INC.

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

## Provider details

- **NPI number:** 1609926500
- **Authorized official:** JOHN D PRICE PHARMD (PHARMACIST/OWNER)
- **Authorized official phone:** (229) 468-5929

## Contact information

- **Practice address:** 515 N IRWIN AVE, OCILLA, GA 31774-5007
- **Practice address phone:** (229) 468-5929
- **Practice address fax:** (229) 468-7313
- **Mailing address:** 515 N IRWIN AVE, OCILLA, GA 31774-5007
- **Mailing address phone:** (229) 468-5929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | PHRE003436 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE003436 | GA | Yes |
| 3336L0003X | Long Term Care Pharmacy | PHRE003436 | GA | — |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 10/11/2021