Organization
VILLAGE DRUG SHOP AT ADVANTAGE LLC
Active
Other names
Village Drug Shop at Advantage LTC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER RYAN THURMOND PHARMD (OWNER)
(706) 548-4444
Entity
Organization
Contact information
Practice address
240 MITCHELL BRIDGE RD, ATHENS, GA 30606-2043
(706) 850-4955
(706) 850-4958
Mailing address
240 MITCHELL BRIDGE RD, ATHENS, GA 30606-2043
(706) 850-4955
(706) 850-4958
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003158669A
—
GA
01
—
PHRE010132
PHARMACY LICENSE
GA
Enumeration date
04/16/2021
Last updated
03/07/2023
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