Organization
WEST GEORGIA MEDICAL CENTER, INC
Active
Other names
West Georgia Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY J BUDZINSKI (EVP)
(470) 644-0012
Entity
Organization
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 845-3731
(706) 845-3010
Mailing address
1800 PARKWAY PL SE STE 500, MARIETTA, GA 30067-8237
(470) 956-4981
(770) 999-2489
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHH004026
GA
3336L0003X
Long Term Care Pharmacy
PHH004026
GA
Other
Enumeration date
04/10/2007
Last updated
02/24/2020
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