Organization
FAULK MEDICAL SERVICES, INC.
Active
Other names
Shoppers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE MICHAEL FAULK (PRESIDENT)
(706) 485-6262
Entity
Organization
Contact information
Practice address
303 S JEFFERSON AVE, EATONTON, GA 31024-1129
(706) 485-6262
Mailing address
303 S JEFFERSON AVE, EATONTON, GA 31024-1129
(706) 485-6262
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
005813
GA
3336C0003X
Community/Retail Pharmacy
005813
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00226443A
—
GA
05
—
00226443B
—
GA
Enumeration date
12/14/2006
Last updated
09/11/2025
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