Organization
OCILLA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D PRICE PHARMD (PHARMACIST/OWNER)
(229) 468-5929
Entity
Organization
Contact information
Practice address
515 N IRWIN AVE, OCILLA, GA 31774-5007
(229) 468-5929
(229) 468-7313
Mailing address
515 N IRWIN AVE, OCILLA, GA 31774-5007
(229) 468-5929
(229) 468-7313
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00032744A
—
GA
Enumeration date
08/22/2019
Last updated
10/11/2021
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