Organization
SIMS PHARMACY INC
Active
Other names
Bowdon Valu-Rite Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY ALAN AKINS (MANAGER)
(770) 258-3366
Entity
Organization
Contact information
Practice address
301 W COLLEGE ST, BOWDON, GA 30108-1309
(770) 258-3366
(770) 258-3366
Mailing address
301 W COLLEGE ST, BOWDON, GA 30108-1309
(770) 258-3366
(770) 258-3366
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005917
GA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000661218A
—
GA
05
—
100100071
—
AL
01
—
PHRE005917
STATE PHARMACY LICENSE
GA
01
—
Q1333830001
MEDICARE
GA
Enumeration date
07/09/2006
Last updated
04/19/2021
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