Organization
NEIGHBORHOOD IMPROVEMENT PROJECT INC
Active
Other names
Medical Associates Plus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PURNANK GANDHI (PHARMACY MANAGER)
(706) 922-0682
Entity
Organization
Contact information
Practice address
2467 GOLDEN CAMP RD, AUGUSTA, GA 30906-5515
(706) 922-0682
(706) 922-0683
Mailing address
2467 GOLDEN CAMP RD, AUGUSTA, GA 30906-5515
(706) 922-0682
(706) 922-0683
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010049
GA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003149746A
—
GA
01
—
2146827
PK
—
Enumeration date
07/09/2014
Last updated
12/18/2015
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