MEDICARE: DR. JIMMY LEE LOUDERMILK PHARMD

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	183500000X	Pharmacist	RPH-0012639	OR

General Provider Information

NPI Number	:	1265711691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JIMMY LEE LOUDERMILK PHARMD

Provider Business Mailing Address
First Line	:	945 COLLEGE AVE
Second Line	:	UNIT C3
City	:	ATHENS
State	:	GA
Zip	:	30601-2616
Country	:	US
Telephone Number	:	706-621-3169
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 CLEVELAND RD
Second Line	:
City	:	BOGART
State	:	GA
Zip	:	30622-1701
Country	:	US
Telephone Number	:	180-081-8648
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2011
Last Update Date	:	06/11/2014

Similar Medicare Providers

1598872210 — PHARMACEUTICAL SPECIALTIES LLC
Practice Location Address:

150 CLEVELAND RD STE B
BOGART, GA
30622-1701

Practice Phone: 800-818-6486
Practice Fax: 706-621-7263

1265464705 — PHARMACEUTICAL SPECIALTIES LLC
Practice Location Address:

150 CLEVELAND RD , STE A
BOGART, GA
30622-1701

Practice Phone: 706-369-9591
Practice Fax: 706-369-9698

1588978126 — DR. GREGORY BRIAN SEAGRAVES PHARM D
Practice Location Address:

150 CLEVELAND RD , SUITE A
BOGART, GA
30622-1701

Practice Phone: 706-369-9591
Practice Fax: 706-369-9698

1285988055 — DR. DANIEL LOPER RPH, DVM
Practice Location Address:

150 CLEVELAND RD
BOGART, GA
30622-1701

Practice Phone: 706-369-9591
Practice Fax:

1437549029 — WILLIAM DAVID WHITE PHARM D
Practice Location Address:

150 CLEVELAND RD , STE B
BOGART, GA
30622-1701

Practice Phone: 706-369-9591
Practice Fax: 706-369-9698

1932630126 — PHARMACEUTICAL SPECIALTIES LLC
Practice Location Address:

150 CLEVELAND RD STE B
BOGART, GA
30622-1701

Practice Phone: 800-818-6486
Practice Fax: 706-621-7263

Directions to “ DR. JIMMY LEE LOUDERMILK PHARMD” 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 © 2007-2026 (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.