Organization
QUALTHERA GEORGIA HOLDINGS, LTD. CO.
Active
Other names
Columbus Custom Rx Pharmacy Compounding and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD PRENTISS (PRESIDENT)
(706) 405-3277
Entity
Organization
Contact information
Practice address
3290 WILLIAMS RD STE BANDC, COLUMBUS, GA 31909-5614
(706) 405-3277
(706) 940-0755
Mailing address
3290 WILLIAMS RD STE BANDC, COLUMBUS, GA 31909-5614
(706) 405-3277
(706) 940-0755
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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