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ADVANCED MEDICAL GROUP LLC NPI 1679811731


NPI Information

NPI: 1679811731
Provider Name: ADVANCED MEDICAL GROUP, LLC

Doing Business As: THOMAS DRUG STORE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
118 N MAIN ST
BOSTON, GA
ZIP 31626
Phone: (229) 498-1018
Get Directions

ADVANCED MEDICAL GROUP, LLC is a community/retail pharmacy pharmacy in Boston, GA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. ADVANCED MEDICAL GROUP, LLC NPI is 1679811731. The provider is registered as an organization entity type.
The provider Is Doing Business As Thomas Drug Store.

The provider's business location address is:

118 N MAIN ST
BOSTON, GA
ZIP 31626-257
Phone: (229) 498-1018
Fax: (229) 498-1012

The provider's authorized official is Vance T Wall .
The authorized official title is Ceo/president and has the following contact phone number (877) 645-3506.

The enumeration date for this NPI number is 1/24/2013 and was last updated on 1/29/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyPHRE009897GEORGIANo
23336C0003XPharmacyCommunity/Retail PharmacyPHRE009897GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PHRE009897OTHERGEORGIARETAIL PHARMACY PERMIT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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