Provider Demographics
NPI:1891829347
Name:THE MEDICINE CABINET OF ALMA, LLC.
Entity Type:Organization
Organization Name:THE MEDICINE CABINET OF ALMA, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-383-8510
Mailing Address - Street 1:102 S PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:GA
Mailing Address - Zip Code:31510-2999
Mailing Address - Country:US
Mailing Address - Phone:912-632-6337
Mailing Address - Fax:912-632-6340
Practice Address - Street 1:102 S PIERCE ST
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:GA
Practice Address - Zip Code:31510-2999
Practice Address - Country:US
Practice Address - Phone:912-632-6337
Practice Address - Fax:912-632-6340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA5898070001Medicare NSC