Organization Name: | SOUTH ALBANY PHARMACY |
NPI Number: | 1346566387 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAULA NORMAN (CORPORATE SECRETARY) |
Mailing Address: | 714 W 4th St Adel |
State: | GA US |
Postal Code: | 316202656 |
Phone Number: | 2298961602 |
Fax Number: | 2298961621 |
NPI Enumeration Date: | 04/15/2010 |
NPI Last Update Date: | 08/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | PHRE009645 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |