Organization
CATHEY VALLEY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY LONG (HR)
(386) 698-3737
Entity
Organization
Contact information
Practice address
6712 US HWY 441, DILLARD, GA 30537
(706) 746-5335
(800) 347-9865
Mailing address
6712 US HWY 441, DILLARD, GA 30537
(706) 746-5335
(800) 347-9865
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHRE003315
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000377716B
—
GA
01
—
52614889001
BCBS
GA
05
—
7702080
—
NC
05
—
DME1064
—
SC
Enumeration date
02/22/2007
Last updated
06/19/2013
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