Organization
COLLEGE PHARMACY, INC.
Active
Other names
East Georgia Home Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JAMES GUERNSEY (MANAGER)
(912) 489-4663
Entity
Organization
Contact information
Practice address
35 S MAIN ST, STATESBORO, GA 30458-5245
(912) 489-4663
(912) 489-3129
Mailing address
35 S MAIN ST, STATESBORO, GA 30458-5245
(912) 489-4663
(912) 489-3129
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
PHRE007767
GA
Other
Enumeration date
09/08/2006
Last updated
10/02/2007
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