Organization
CATHEY VALLEY PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA LONG (V.P.)
(386) 698-3737
Entity
Organization
Contact information
Practice address
6712 HIGHWAY 441 N, DILLARD, GA 30537-2203
(706) 746-5335
(800) 347-9865
Mailing address
6712 HIGHWAY 441 N, DILLARD, GA 30537-2203
(706) 746-5335
(800) 347-9865
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
GA381
KY
333600000X
Pharmacy
Primary
PHRE003315
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00037716A
—
GA
05
—
00037716B
—
GA
05
—
0217321000
—
WV
05
—
7702080
—
NC
05
—
DE1064
—
SC
Enumeration date
12/22/2005
Last updated
08/22/2020
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