Organization
WEST GEORGIA MEDICAL CENTER, INC
Active
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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