Organization
WEST GEORGIA HOME MEDICAL EQUIPMENT CO INC
Active
Other names
HOLMES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY PATRICK PRATHER (OWNER)
(706) 884-7301
Entity
Organization
Contact information
Practice address
136 COMMERCE AVE, LAGRANGE, GA 30240-2338
(706) 884-7301
(706) 845-0687
Mailing address
PO BOX 972, LAGRANGE, GA 30241-0017
(706) 884-7301
(706) 845-0687
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005835
GA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000029455A
—
GA
05
—
000029455B
—
GA
01
—
2012467
PK
—
Enumeration date
07/29/2006
Last updated
01/19/2021
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