# PRUITTHEALTH PHARMACY SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PruittHealth Pharmacy Services - Toccoa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902853112
- **Authorized official:** MR. NEIL L PRUITT JR. (CHAIRMAN AND CEO)
- **Authorized official phone:** (770) 279-6200

## Contact information

- **Practice address:** 377 NORTH POND STREET, TOCCOA, GA 30577-1920
- **Practice address phone:** (706) 886-7787
- **Practice address fax:** (706) 886-2939
- **Mailing address:** 1626 JEURGENS CT, NORCROSS, GA 30093-2219
- **Mailing address phone:** (770) 279-6200
- **Mailing address fax:** (770) 279-6200

## Taxonomy

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

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 03/27/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00033767A | — | GA |
| 05 | — | 0116756 | — | NC |