Organization
M&E PHARMACY SERVICES INC
Active
Other names
Medical Arts Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ITEOGU (OWNER)
(478) 957-3370
Entity
Organization
Contact information
Practice address
1193 FORSYTH ST, MACON, GA 31201-1735
(478) 746-8331
(478) 254-8926
Mailing address
1193 FORSYTH ST, MACON, GA 31201-1735
(478) 746-8331
(478) 254-8926
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009809
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00312196A
—
GA
01
—
2133761
PK
—
Enumeration date
02/07/2012
Last updated
01/13/2017
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