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Southwest Georgia Compounding Pharmacy
Compounding Pharmacy in Camilla, Georgia
NPI 1982928834

Southwest Georgia Compounding Pharmacy is a Compounding Pharmacy based in Camilla, GA and is specialized in Compounding Pharmacy. Southwest Georgia Compounding Pharmacy practices in Camilla, GA. The NPI Number for Southwest Georgia Compounding Pharmacy is 1982928834 and holds a License No. 009638 (Georgia).

The current practice location address for Southwest Georgia Compounding Pharmacy is 181 E Broad St, Camilla, GA and can be reached out via phone at 229-336-9334 and via fax at 229-336-9525.

Location: 181 E Broad St, Camilla, GA, 31730-1966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982928834
Provider Name
Southwest Georgia Compounding Pharmacy
Credential
Provider Entity Type
Organization
Address
181 E Broad St, Camilla, GA, 31730-1966
Phone Number
229-336-9334
Fax Number
229-336-9525
Provider Enumeration Date
03/22/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009638 01 GA PHARMACY STATE LISCENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
181 E Broad St
City
Camilla
State
Georgia
Zip
31730-1966
Phone Number
229-336-9334
Fax Number
229-336-9525
person
Provider Business Mailing Address Details
Address
181 E Broad St
City
Camilla
State
Georgia
Zip
31730-1966
Phone Number
229-336-9334
Fax Number
229-336-9525
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
009638 (Georgia)
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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