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Organization

G PHILLIPS VENTURES INC

Active
Other names
PHILLIPS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
GARY PHILLIPS (PRESIDENT)
(229) 432-1203
Entity
Organization

Contact information

Practice address
523 7TH AVE, ALBANY, GA 31701-1921
(229) 432-1203
(229) 432-1676
Mailing address
PO BOX 72148, ALBANY, GA 31708-2148
(229) 432-1203
(229) 432-1676

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009131
GA
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2016374
PK
Enumeration date
03/08/2007
Last updated
08/01/2013
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