Organization
HOSPITAL AUTHORITY OF VALDOSTA & LOWNDES COUNTY, GA
Active
Other names
Greenleaf Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LANE (ADMINISTRATOR)
(229) 671-6601
Entity
Organization
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
(229) 259-4938
(229) 259-4925
Mailing address
2209 PINEVIEW DR, VALDOSTA, GA 31602-7316
(229) 671-6675
(229) 245-7335
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
PHH006327
GA
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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