Organization
WEST GEORGIA HOME MEDICAL EQUIPMENT CO INC
Active
Other names
Holmes Pharmacy at Sawmill
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY PATRICK PRATHER (OWNER)
(706) 350-4200
Entity
Organization
Contact information
Practice address
1861 ROANOKE RD STE A, LAGRANGE, GA 30240-3850
(706) 350-4200
(706) 350-4220
Mailing address
PO BOX 972, LAGRANGE, GA 30241-0017
(706) 350-4200
(706) 350-4220
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010402
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003199976A
—
GA
Enumeration date
12/04/2017
Last updated
11/16/2020
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