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COLLEGE PHARMACY INC. NPI 1174627426


NPI Information

NPI: 1174627426
Provider Name: COLLEGE PHARMACY, INC.

Doing Business As: EAST GEORGIA HOME CENTER

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
35 S MAIN ST
STATESBORO, GA
ZIP 30458
Phone: (912) 489-4663
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COLLEGE PHARMACY, INC. is an oxygen equipment and supplies durable medical equipment medical supplies in Statesboro, GA. COLLEGE PHARMACY, INC. NPI is 1174627426. The provider is registered as an organization entity type.
The provider Is Doing Business As East Georgia Home Center.

The provider's business location address is:

35 S MAIN ST
STATESBORO, GA
ZIP 30458-245
Phone: (912) 489-4663
Fax: (912) 489-3129

The provider's authorized official is Michael James Guernsey .
The authorized official title is Manager and has the following contact phone number (912) 489-4663.

The enumeration date for this NPI number is 9/8/2006 and was last updated on 10/2/2007.


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
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
23336H0001XPharmacyHome Infusion Therapy PharmacyPHRE007767GEORGIANo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesYes

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
10593130001MEDICARE NSCGEORGIA

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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