Organization
CAMILLA PHARMACY INC
Active
Other names
camilla pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEN F REYNOLDS R.PH. (PRESIDENT)
(229) 336-8474
Entity
Organization
Contact information
Practice address
92 E BROAD ST, CAMILLA, GA 31730-1832
(229) 336-8474
(229) 336-5602
Mailing address
PO BOX 33, CAMILLA, GA 31730-0033
(229) 336-8474
(229) 336-5602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHRE003289
GA
332B00000X
Durable Medical Equipment & Medical Supplies
PHRE003289
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00022701A
—
GA
05
—
00022701B
—
GA
01
—
1107235
NCPDP
—
Enumeration date
07/01/2006
Last updated
01/28/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us