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Southern Moodycare Inc
Long Term Care Pharmacy in Arlington, Georgia
NPI 1154694487

Southern Moodycare Inc is a Long Term Care Pharmacy based in Arlington, GA and is specialized in Long Term Care Pharmacy. Southern Moodycare Inc practices in Arlington, GA. The NPI Number for Southern Moodycare Inc is 1154694487 and holds a License No. (Georgia).

The current practice location address for Southern Moodycare Inc is 84 Maxwell St Se, Arlington, GA and can be reached out via phone at 229-725-4212 and via fax at 229-725-5242.

Location: 84 Maxwell St Se, Arlington, GA, 39813-8712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154694487
Provider Name
Southern Moodycare Inc
Credential
Provider Entity Type
Organization
Address
84 Maxwell St Se, Arlington, GA, 39813-8712
Phone Number
229-725-4212
Fax Number
229-725-5242
Provider Enumeration Date
02/16/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PHRE004054 01 GA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
84 Maxwell St Se
City
Arlington
State
Georgia
Zip
39813-8712
Phone Number
229-725-4212
Fax Number
229-725-5242
person
Provider Business Mailing Address Details
Address
84 Maxwell St Se
City
Arlington
State
Georgia
Zip
39813-8712
Phone Number
229-725-4212
Fax Number
229-725-5242
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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