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ADVANCED MEDICAL GROUP LLC NPI 1417980426


NPI Information

NPI: 1417980426
Provider Name: ADVANCED MEDICAL GROUP, LLC

Doing Business As: THOMAS DRUG STORE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
816 GORDON AVE
THOMASVILLE, GA
ZIP 31792
Phone: (229) 226-4201
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ADVANCED MEDICAL GROUP, LLC is a community/retail pharmacy pharmacy in Thomasville, 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 1417980426. 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:

816 GORDON AVE
THOMASVILLE, GA
ZIP 31792-611
Phone: (229) 226-4201
Fax: (229) 226-4206

The provider's authorized official is Vance Wall .
The authorized official title is Ceo and has the following contact phone number (678) 689-2388.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 4/26/2017.


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
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
43336C0003XPharmacyCommunity/Retail Pharmacy000001GEORGIAYes

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
1000037045AMEDICAIDGEORGIA
25831530003MEDICARE NSC
32134358OTHERPK

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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