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CAMILLA PHARMACY INC NPI 1316976467


NPI Information

NPI: 1316976467
Provider Name: CAMILLA PHARMACY INC

Doing Business As: CAMILLA PHARMACY

Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
92 E BROAD ST
CAMILLA, GA
ZIP 31730
Phone: (229) 336-8474
Get Directions

CAMILLA PHARMACY INC is a pharmacist in Camilla, GA. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. CAMILLA PHARMACY INC NPI is 1316976467. The provider is registered as an organization entity type.
The provider Is Doing Business As Camilla Pharmacy.

The provider's business location address is:

92 E BROAD ST
CAMILLA, GA
ZIP 31730-832
Phone: (229) 336-8474
Fax: (229) 336-5602

The provider's authorized official is Len F Reynolds .
The authorized official title is President and has the following contact phone number (229) 336-8474.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 1/28/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesPHRE003289GEORGIANo
2183500000XPharmacistPHRE003289GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11107235OTHERNCPDP
200022701AMEDICAIDGEORGIA
300022701BMEDICAIDGEORGIA
40967580001MEDICARE 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: 4/28/2024

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