Organization
SKIDAWAY VILLAGE PHARMACY INC
Active
Other names
VILLAGE WALK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON PAUL CONLEY PHARMD (PHARMACIST)
(912) 598-8669
Entity
Organization
Contact information
Practice address
1 SKIDAWAY VILLAGE WALK, SAVANNAH, GA 31411-2908
(912) 598-8669
(912) 598-7208
Mailing address
1 SKIDAWAY VILLAGE WALK, SAVANNAH, GA 31411-2908
(912) 598-8669
(912) 598-7208
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE008485
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000895485A
—
GA
01
—
1133533
NCPDP
—
01
—
PHRE008485
PHARMACY LICENSE
GA
Enumeration date
02/21/2007
Last updated
07/19/2016
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