Healthcare Provider Details

I. General information

NPI: 1891842944
Provider Name (Legal Business Name): ARMOR DRUGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 04/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2704 N OAK ST STE B1
VALDOSTA GA
31602-1744
US

IV. Provider business mailing address

2704 N OAK ST STE B1
VALDOSTA GA
31602-1744
US

V. Phone/Fax

Practice location:
  • Phone: 229-244-5353
  • Fax: 229-244-5357
Mailing address:
  • Phone: 229-244-5353
  • Fax: 229-244-5357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHRE010075
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ADAM MOORE
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 229-560-0005