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Organization
SKIDAWAY VILLAGE PHARMACY INC
Active
Organization
SKIDAWAY VILLAGE PHARMACY INC
Active
Other names
VILLAGE WALK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON PAUL CONLEY PHARMD (PHARMACIST)
(912) 598-8669
Entity
Organization
Contact information
Practice address
1 SKIDAWAY VILLAGE WALK, SAVANNAH, GA 31411-2908
(912) 598-8669
(912) 598-7208
Mailing address
1 SKIDAWAY VILLAGE WALK, SAVANNAH, GA 31411-2908
(912) 598-8669
(912) 598-7208
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE008485
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000895485A
—
GA
01
—
1133533
NCPDP
—
01
—
PHRE008485
PHARMACY LICENSE
GA
Enumeration date
02/21/2007
Last updated
07/19/2016
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