Organization
MEDEX ASSOCIATES LLC
Active
Other names
Medex Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HETAL THAKORE (OFFICER)
(706) 434-1590
Entity
Organization
Contact information
Practice address
811 13TH ST STE 10, AUGUSTA, GA 30901-2771
(706) 434-1590
(706) 434-1595
Mailing address
811 13TH ST, SUITE 10, AUGUSTA, GA 30901-2700
(706) 434-1590
(706) 434-1595
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009766
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131382
PK
—
Enumeration date
08/18/2011
Last updated
06/25/2013
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