Organization
WEST GEORGIA HOME MEDICAL EQUIPMENT CO INC
Active
Parent organization
WEST GEORGIA HOME MEDICAL EQUIPMENT CO INC.
Other names
Holmes Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST GEORGIA HOME MEDICAL EQUIPMENT CO INC.
Authorized official
PERRY PATRICK PRATHER PHARMD (OWNER/PHARMACIST)
(706) 884-7301
Entity
Organization
Contact information
Practice address
136 COMMERCE AVE, LAGRANGE, GA 30241-2338
(706) 845-4898
(706) 845-0687
Mailing address
519 RIVERSIDE DR, LAGRANGE, GA 30240-9635
(706) 845-4898
(706) 845-0687
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00029455A
—
GA
01
—
1111171
NCPDP
GA
Enumeration date
11/23/2022
Last updated
11/23/2022
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