Organization
AMERIMED PHARMACY & EQUIPMENT, LLC.
Active
Organization
AMERIMED PHARMACY & EQUIPMENT, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH DELOACH (OWNER)
(229) 253-0067
Entity
Organization
Contact information
Practice address
3782 OLD US HWY 41 N, VALDOSTA, GA 31602
(229) 253-0067
(229) 253-9010
Mailing address
3782 OLD US HIGHWAY 41 N, VALDOSTA, GA 31602-6882
(229) 253-0067
(229) 253-9010
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518818293A
—
GA
05
—
518818293B
—
GA
Enumeration date
11/17/2006
Last updated
02/01/2021
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