Georgia Cvs Pharmacy LLC

NPI #1508969346 in Vidalia, Georgia

Provider Information

NPI Number: 1508969346
Entity Type: Organization
Organization Name: Georgia Cvs Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: Sep 7, 2006
Last Updated: Sep 8, 2011

Practice Location

Address: 1201 EAST FIRST ST
City: Vidalia
State: Georgia
ZIP Code: 30474-5500
Phone: (912) 537-8767

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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