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NPI Code Detail

MEDICARE: SILVERTOWN PHARMACY INC.

MEDICARE: SILVERTOWN PHARMACY INC.
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
1333600000XPharmacyPHRE006014GA

General Provider Information

NPI Number : 1639219710
Entity Type Code : Organization
Provider Name (Legal Business Name) : SILVERTOWN PHARMACY INC.
Provider Business Mailing Address
First Line : PO BOX 111
Second Line :
City : THOMASTON
State : GA
Zip : 30286-0002
Country : US
Telephone Number :
Fax Number : 706-647-4455
Provider Business Practice Location Address
First Line : 634 N CHURCH ST
Second Line :
City : THOMASTON
State : GA
Zip : 30286-3612
Country : US
Telephone Number : 706-647-9636
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : CHESTER YOUNG
Credential :
Telephone Number : 706-647-4455
Provider Enumeration Date : 02/07/2007
Last Update Date : 08/22/2020

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Directions to “SILVERTOWN PHARMACY INC. ” Practice Location

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