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MIDDLE CREEK MANAGEMENT NPI 1598326027


NPI Information

NPI: 1598326027
Provider Name: MIDDLE CREEK MANAGEMENT

Doing Business As: ASHBURN FAMILY PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
123 E COLLEGE AVE
ASHBURN, GA
ZIP 31714
Phone: (229) 778-9889
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MIDDLE CREEK MANAGEMENT is a pharmacy in Ashburn, GA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MIDDLE CREEK MANAGEMENT NPI is 1598326027. The provider is registered as an organization entity type.
The provider Is Doing Business As Ashburn Family Pharmacy.

The provider's business location address is:

123 E COLLEGE AVE
ASHBURN, GA
ZIP 31714-203
Phone: (229) 778-9889
Fax: (229) 778-9892

The provider's authorized official is William Charles Dunn .
The authorized official title is Owner/pic and has the following contact phone number (229) 392-6328.

The enumeration date for this NPI number is 6/25/2019 and was last updated on 7/30/2019.


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
1333600000XPharmacyYes

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
1003221324AMEDICAIDGEORGIA

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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