Organization
MILLEDGEVILLE MEDICAL CENTER PHARMACY INC
Active
Other names
Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HJ VINSON (SEC)
(478) 452-3591
Entity
Organization
Contact information
Practice address
750 N COBB ST, MILLEDGEVILLE, GA 31061-2390
(478) 452-3591
(478) 452-3596
Mailing address
750 N COBB ST, MILLEDGEVILLE, GA 31061-2390
(478) 452-3591
(478) 452-3596
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE003608
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000032095A
—
GA
01
—
2012676
PK
—
Enumeration date
07/30/2006
Last updated
10/23/2014
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