Middle Flint Community Board, NPI 1811902448
Clinic Pharmacy in Cordele, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1811902448
NPI Entity Type Organization
Provider Name Middle Flint Community Board
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1335 N 5th Street Ext, Cordele, GA, US
Provider Mailing Address Po Box 1348, Americus, GA, US, 317091348
Is Sole Proprietor? No
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Organization Official

Official Name Pam Davis
Official Position EXEC DIR
Phone 229-931-2470

Primary Taxonomy

Taxonomy Code

3336C0002X

Taxonomy Name Clinic Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. PHRE006306
License State GA
Description A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Other Organization Name

CRISP COMMUNITY MENTAL HEALTH CENTER
Doing Business As

Business Address

Middle Flint Community Board
1335 N 5th Street Ext

Cordele, GA, US

Phone: 229-276-2367
Fax: 229-931-2474

Mailing Address

Middle Flint Community Board
Po Box 1348
Americus, GA, US
ZIP 317091348
Phone: 229-931-2474
Fax: 229-931-2474

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
734807561B GA MEDICAID 05
2015417 PK 01

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