Organization
OMEGA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKSON THOMAS LINDSEY RPH (PHARMACIST)
(229) 528-4276
Entity
Organization
Contact information
Practice address
246 OAK ST, OMEGA, GA 31775-3087
(229) 528-4276
(229) 528-4278
Mailing address
PO BOX 98, 246 OAK STREET, OMEGA, GA 31775-0098
(229) 528-4276
(229) 528-4278
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4464
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000032821A
—
GA
Enumeration date
04/14/2006
Last updated
01/30/2017
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