Organization
MEDVILLE PHARMACY AND COMPOUNDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE U AGUWA (PHARMACY MANAGER)
(229) 500-6973
Entity
Organization
Contact information
Practice address
2205 E OGLETHORPE BLVD, ALBANY, GA 31705-2939
(229) 500-6973
(229) 500-6974
Mailing address
2205 E OGLETHORPE BLVD, ALBANY, GA 31705-2939
(229) 500-6973
(229) 500-6974
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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