Georgia Oxygen Pharmacy
Organization Active NPI Oxygen Equipment & Supplies (DME) · Fitzgerald, GA
NPI 1114042108 · NPPES record last updated Mar 12, 2008
Key facts
- NPI
- 1114042108
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- Legal business name
- GEORGIA OXYGEN PHARMACY
- Practice address
- 611 S Grant St
Fitzgerald, GA 31750-3315 - Phone
- (229) 424-0018
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Ed Hill
- Title
- Owner
- Phone
- (229) 423-7809
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Yes | ||
| Pharmacy | 333600000X | PHRE008222 | GA |
Addresses
Primary practice location
611 S Grant St
Fitzgerald, GA 31750-3315
Mailing address
PO Box 750
Fitzgerald, GA 31750-0750
Phone (229) 424-0018
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHRE008222 | Other | GA | PHARMACY LICENSE |
| 00838219B | Medicaid | GA |
Other providers in Fitzgerald, GA
- Georgia CVS Pharmacy LLC
- Georgia Dental Associates, LLC
- Georgia Intervention Programs and Services
- Georgia Interventions & Family Services, LLC
- Georgia Oxygen Home Health
- Kenneth Andrew Gilbert
- Robin Alisha Glover
- Alicia Gordon
- Beverly Denise Graham
- Thomas A Green
All providers in Fitzgerald, GA · Oxygen Equipment & Supplies (DME) in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.