Organization
PACK PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSITA ABANAH PHARMACIST (OWNER/PHARMACY MANAGER)
(229) 903-8838
Entity
Organization
Contact information
Practice address
253 E OGLETHORPE BLVD, ALBANY, GA 31705-2705
(229) 903-8838
(229) 903-8839
Mailing address
253 E OGLETHORPE BLVD, ALBANY, GA 31705-2705
(229) 903-8838
(229) 903-8839
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003210114A
—
GA
Enumeration date
07/16/2018
Last updated
06/13/2025
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