Organization
FOREST HEIGHTS PHCY INC
Active
Other names
UNIVERSITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL SIKES (PRESIDENT)
(912) 489-7979
Entity
Organization
Contact information
Practice address
HLTH SVCS BLDG, WATSON HALL, STATESBORO, GA 30460-0001
(912) 681-5780
Mailing address
PO BOIX 2698, STATESBORO, GA 30459-2698
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHRE009060
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154878
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/21/2006
Last updated
08/22/2020
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