Organization
INNOVATIVE HEALTH SYSTEMS INC
Active
Other names
IHS Pharmacy & Gifts
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN STONE BS PHARM (PHARMACIST/OWNER)
(912) 685-2803
Entity
Organization
Contact information
Practice address
150 S LEROY ST, METTER, GA 30439-4631
(912) 685-2803
(912) 685-3777
Mailing address
150 S LEROY ST, METTER, GA 30439-4631
(912) 685-2803
(912) 685-3777
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008251
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00805956A
—
GA
05
—
00805956B
—
GA
01
—
2020140
PK
—
Enumeration date
12/07/2005
Last updated
01/04/2024
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