Organization
JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.
Active
Parent organization
JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.
Other names
Archbold Pinetree Pharmacy, Archbold Health Services, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.
Authorized official
TARA KING (AVP)
(229) 228-2229
Entity
Organization
Contact information
Practice address
2705 E PINETREE BLVD, THOMASVILLE, GA 31792-4875
(229) 551-2365
(229) 551-2397
Mailing address
2705 E PINETREE BLVD STE F, THOMASVILLE, GA 31792-4875
(229) 551-2377
(229) 551-2397
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
PHRE007122
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00420318A
—
GA
01
—
2020500
PK
—
Enumeration date
01/05/2006
Last updated
05/21/2024
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