Organization
THE HOSPITAL AUTHORITY OF MILLER COUNTY
Active
Other names
MILLER COUNTY HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN RAU BACH PHARMACY (ADMINISTRATOR)
(229) 758-4949
Entity
Organization
Contact information
Practice address
209 N CUTHBERT ST, COLQUITT, GA 39837-3518
(229) 758-4245
(229) 758-9715
Mailing address
PO BOX 7, 209 N CUTHBERT STREET, COLQUITT, GA 39837-0007
(229) 758-4245
(229) 752-9715
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
PHRE008934
GA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003100181A
—
GA
01
—
2013346
PK
—
Enumeration date
10/22/2010
Last updated
11/03/2021
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