ATHENS CUSTOM MEDS INC NPI 1205876950

NPI Information

ATHENS CUSTOM MEDS INC is a pharmacy in Athens, 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. ATHENS CUSTOM MEDS INC NPI is 1205876950. The provider is registered as an organization entity type.

The provider's business location address is:

810A HAWTHORNE AVE
ATHENS, GA
ZIP 30606-116
Phone: (706) 433-0246

The provider's authorized official is Gregory Seagraves .
The authorized official title is Pic and has the following contact phone number (706) 433-0246.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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

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