Cathey Valley Pharmacy Inc

Organization Active NPI Durable Medical Equipment & Medical Supplies · Dillard, GA

NPI 1619002623 · NPPES record last updated Jun 19, 2013

Key facts

NPI
1619002623
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
PHRE003315 (GA)
Legal business name
CATHEY VALLEY PHARMACY INC
Practice address
6712 US Hwy 441
Dillard, GA 30537
Phone
(706) 746-5335
Fax
(800) 347-9865
NPI assigned
Feb 22, 2007
Organization subpart
No

Authorized official

Name
Patty Long
Title
HR
Phone
(386) 698-3737

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PHRE003315 GA Yes

Addresses

Primary practice location

6712 US Hwy 441
Dillard, GA 30537

Mailing address

6712 US Hwy 441
Dillard, GA 30537
Phone (706) 746-5335

Other identifiers

IdentifierTypeStateIssuer
52614889001OtherGABCBS
7702080MedicaidNC
0000377716BMedicaidGA
DME1064MedicaidSC

Other providers in Dillard, GA

All providers in Dillard, GA · Durable Medical Equipment & Medical Supplies in Georgia

Sources for this page

Verify at the official NPI Registry.