Healthcare Provider Details

I. General information

NPI: 1699873620
Provider Name (Legal Business Name): MANOR PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 WARM SPRINGS RD
COLUMBUS GA
31904-7932
US

IV. Provider business mailing address

PO BOX 8828
COLUMBUS GA
31908-8828
US

V. Phone/Fax

Practice location:
  • Phone: 706-324-2501
  • Fax: 706-324-0900
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHRE004294
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RENEE ADAMSON
Title or Position: PHARMACY DIRECTOR
Credential: PHARMD
Phone: 706-324-0387