Organization
AMERICUS & SUMTER COUNTY HOSPITAL AUTHORITY
Active
Other names
SUMTER REGIONAL HOSPITAL PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL HAWKINS RPH (DIR OF PHCY)
(229) 931-1265
Entity
Organization
Contact information
Practice address
100 WHEATLEY DR, AMERICUS, GA 31709-3788
(229) 931-1265
(229) 931-1175
Mailing address
100 WHEATLEY DR, AMERICUS, GA 31709-3788
(229) 931-1265
(229) 931-1175
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
006357
GA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00679511A
—
GA
01
—
1136185
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/23/2006
Last updated
06/16/2010
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