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Organization
BACON COUNTY HEALTH SVC INC
Active
Organization
BACON COUNTY HEALTH SVC INC
Active
Other names
BACON COUNTY HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LOTT PHRMD (DIR OF PHRM SRV)
(912) 632-8961
Entity
Organization
Contact information
Practice address
302 S WAYNE ST, ALMA, GA 31510-2922
(912) 632-8961
(912) 632-2231
Mailing address
302 S WAYNE ST, PO DRAWER 1987, ALMA, GA 31510-2922
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
8086
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000118B
—
GA
01
—
2013239
PK
—
Enumeration date
12/18/2006
Last updated
11/04/2016
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