# WINNERSVILLE PHARMACY, LLC

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

## Provider details

- **NPI number:** 1760884233
- **Authorized official:** TROY ALLEN (GENERAL MANAGER)
- **Authorized official phone:** (229) 253-0067

## Contact information

- **Practice address:** 3782 OLD US HIGHWAY 41 N, SUITE C, VALDOSTA, GA 31602-6834
- **Practice address phone:** (229) 253-0067
- **Practice address fax:** (229) 219-1588
- **Mailing address:** PO BOX 4824, VALDOSTA, GA 31604-4824
- **Mailing address phone:** (229) 253-0067
- **Mailing address fax:** (229) 219-1588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE010062 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/16/2014
- **Last updated:** 02/20/2017