National Provider Identifier Database

MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
415 N JACKSON ST
AMERICUS, GA31709-3015
Phone: 229-931-2470
Fax: 229-931-2474
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for MIDDLE FLINT AREA COMMUNITY SERVICE BOARD

NPI Number 1043227929
Legal business name
LBN
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Authorized official ANGELA HOLT - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 08/02/2006
Last updated 02/06/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: PHRE008689
  • GA Medicaid: 734807561A
  • Other: 2015416 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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