OCILLA PHARMACY INC. NPI 1790332906

NPI Information

NPI: 1790332906
Provider Name: OCILLA PHARMACY, INC.
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
515 N IRWIN AVE
OCILLA, GA
ZIP 31774
Phone: (229) 468-5929
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OCILLA PHARMACY, INC. is a long term care pharmacy pharmacy in Ocilla, GA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. OCILLA PHARMACY, INC. NPI is 1790332906. The provider is registered as an organization entity type.

The provider's business location address is:

515 N IRWIN AVE
OCILLA, GA
ZIP 31774-007
Phone: (229) 468-5929
Fax: (229) 468-7313

The provider's authorized official is John D Price .
The authorized official title is Pharmacist/owner and has the following contact phone number (229) 468-5929.

The enumeration date for this NPI number is 8/22/2019 and was last updated on 10/11/2021.

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
1	3336L0003X	Pharmacy	Long Term Care Pharmacy			Yes

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
1	00032744A	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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