Organization
MEDI THRIFT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER STATON (PRESIDENT)
(706) 638-3114
Entity
Organization
Contact information
Practice address
324 W PATTON ST, LAFAYETTE, GA 30728-0791
(706) 638-3114
(706) 638-7713
Mailing address
PO BOX 791, LA FAYETTE, GA 30728-0791
(706) 638-3114
(706) 538-7713
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
11913
GA
3336C0003X
Community/Retail Pharmacy
Primary
11913
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00182762A
—
GA
05
—
00182762B
—
GA
Enumeration date
12/22/2006
Last updated
03/20/2025
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