MEDICARE: 1ST AMERICA DRUGS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PHRE006491	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0003314689	OTHER	GA	ENVOY ID.

General Provider Information

NPI Number	:	1225143464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1ST AMERICA DRUGS

Provider Business Mailing Address
First Line	:	212 NORTHSIDE DR
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31602-1858
Country	:	US
Telephone Number	:	229-242-3060
Fax Number	:	229-316-1366

Provider Business Practice Location Address
First Line	:	212 NORTHSIDE DR
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31602-1858
Country	:	US
Telephone Number	:	229-242-3060
Fax Number	:	229-316-1366

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	MR. MICHAEL SUTTLES HICKS
Credential	:	R.PH.
Telephone Number	:	229-242-3060

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1841341500 — TERESA W JOHNSON CNM
Practice Location Address:

220 NORTHSIDE DR
VALDOSTA, GA
31602-1858

Practice Phone: 229-241-2800
Practice Fax: 229-241-0454

1851309595 — 1ST AMERICA INFUSION SERVICES LLC
Practice Location Address:

212 NORTHSIDE DR
VALDOSTA, GA
31602-1858

Practice Phone: 229-242-3060
Practice Fax: 292-242-9914

1811005655 — SONYA J. MERRIMAN M.D.
Practice Location Address:

230 NORTHSIDE DR
VALDOSTA, GA
31602-1858

Practice Phone: 229-242-3002
Practice Fax:

1801951454 — SOUTHERN OB GYN ASSOCIATES P C
Practice Location Address:

220 NORTHSIDE DR
VALDOSTA, GA
31602-1858

Practice Phone: 229-241-2800
Practice Fax: 229-241-0454

1497894497 — 1ST AMERICA HEALTH SERVICES, INC.
Practice Location Address:

212 NORTHSIDE DR
VALDOSTA, GA
31602-1858

Practice Phone: 229-242-3060
Practice Fax: 229-242-9914

1932326402 — HEALTH TECH INNOVATIONS
Practice Location Address:

212 NORTHSIDE DR
VALDOSTA, GA
31602-1858

Practice Phone: 229-242-3060
Practice Fax: 229-242-9914

Directions to “1ST AMERICA DRUGS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.