Provider Demographics
NPI:1720603756
Name:MEDICAL-PHARMACY ASSOCIATES OF GEORGIA, LLC
Entity Type:Organization
Organization Name:MEDICAL-PHARMACY ASSOCIATES OF GEORGIA, LLC
Other - Org Name:U SAVE IT PHARMACY - MACON 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-435-4571
Mailing Address - Street 1:PO BOX 72148
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31708-2148
Mailing Address - Country:US
Mailing Address - Phone:478-309-1777
Mailing Address - Fax:478-309-1776
Practice Address - Street 1:1425 GEORGIA AVE STE 102
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-6546
Practice Address - Country:US
Practice Address - Phone:229-435-4571
Practice Address - Fax:229-317-7708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy