Provider Demographics
NPI:1629654389
Name:META PHARMACY SAVANNAH LLC
Entity Type:Organization
Organization Name:META PHARMACY SAVANNAH LLC
Other - Org Name:SAVANNAH RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:DOSSEY
Authorized Official - Last Name:GROOVER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:912-414-7539
Mailing Address - Street 1:1000 EISENHOWER DR STE A
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-2601
Mailing Address - Country:US
Mailing Address - Phone:912-417-6003
Mailing Address - Fax:
Practice Address - Street 1:1000 EISENHOWER DR STE A
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2601
Practice Address - Country:US
Practice Address - Phone:912-447-1937
Practice Address - Fax:912-200-5937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No291U00000XLaboratoriesClinical Medical Laboratory