Organization
FIRST AMERICA PHARMACY INC
Active
Other names
AMERIMED PHARM AND EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C. ALLEN JR. RPH (OWNER)
(229) 253-0067
Entity
Organization
Contact information
Practice address
3782 OLD US HIGHWAY 41 N, SUITE B, VALDOSTA, GA 31602-6834
(229) 253-0067
(229) 253-9010
Mailing address
3782 OLD US HIGHWAY 41 N, SUITE B, VALDOSTA, GA 31602-6834
(229) 253-0067
(229) 253-9010
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE006796
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00768501A
—
GA
01
—
1110624
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/20/2006
Last updated
06/16/2011
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