Organization
NEIGHBORHOOD IMPROVEMENT PROJECT INC
Active
Other names
Medical Associates Plus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PURNANK GANDHI (DIRECTOR OF PHARMACY)
(706) 922-0682
Entity
Organization
Contact information
Practice address
501 E BROAD ST, WRENS, GA 30833-1185
(706) 547-2550
(706) 547-3765
Mailing address
2467 GOLDEN CAMP RD, AUGUSTA, GA 30906-5515
(706) 922-0682
(706) 922-0683
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010271
GA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158603
PK
—
Enumeration date
03/23/2016
Last updated
05/09/2016
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