Organization
DURAMED HEALTHCARE INC
Active
Other names
Custom Prescription Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC HOLGATE (PRESIDENT)
(706) 737-3955
Entity
Organization
Contact information
Practice address
1543 15 STREET, AUGUSTA, GA 30901
(706) 737-3955
(706) 737-6323
Mailing address
1543 15 STREET, AUGUSTA, GA 30901
(706) 737-3955
(706) 737-6323
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PHRE007052
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000398461A
—
GA
Enumeration date
03/21/2006
Last updated
12/30/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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