Organization
PHARMACY ALTERNATIVES, LLC
Active
Other names
PAL Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY TYLER WHOBREY (PROVIDER ENROLLMENT)
(502) 630-7249
Entity
Organization
Contact information
Practice address
1705 RIVER ST, VALDOSTA, GA 31601-5163
(229) 249-0233
(229) 249-0494
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-5186
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE009744
GA
3336L0003X
Long Term Care Pharmacy
PHRE009744
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHRE009744
PHARMACY LICENSE
GA
Enumeration date
04/14/2011
Last updated
01/09/2020
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