# OCILLA PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790332906
- **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
- **Mailing address fax:** (229) 468-7313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/22/2019
- **Last updated:** 10/11/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00032744A | — | GA |