| Organization Name: | MIDDLE FLINT COMMUNITY SERVICE BOARD |
| NPI Number: | 1043227929 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAM DAVIS (EXEC DIR) |
| Mailing Address: | 415 N Jackson St Americus |
| State: | GA US |
| Postal Code: | 317093015 |
| Phone Number: | 2299312470 |
| Fax Number: | 2299312474 |
| NPI Enumeration Date: | 08/02/2006 |
| NPI Last Update Date: | 04/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0002X |
| License Number: | PHRE008689 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Clinic Pharmacy |
| Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |