Organization
AU MEDICAL CENTER, INC
Active
Other names
Retail Pharmacy, Wellstar MCG Health Retail Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BUDZINSKI (EXECUTIVE VICE PRESIDENT)
(470) 644-0012
Entity
Organization
Contact information
Practice address
1120 15TH ST, BT-2601, AUGUSTA, GA 30912-0004
(706) 446-1234
(706) 721-9505
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 446-1234
(706) 721-9505
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010130
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003160189A
—
GA
01
—
2146098
PK
—
05
—
7G0130
—
SC
Enumeration date
10/17/2014
Last updated
10/09/2025
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