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NPI Code Detail

MEDICARE: VILLAGE DRUG SHOP AT ADVANTAGE LLC

MEDICARE: VILLAGE DRUG SHOP AT ADVANTAGE LLC
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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1134538747
Entity Type Code : Organization
Provider Name (Legal Business Name) : VILLAGE DRUG SHOP AT ADVANTAGE LLC
Provider Business Mailing Address
First Line : 740 PRINCE AVE
Second Line : VILLAGE DRUG SHOP AT ADVANTAGE
City : ATHENS
State : GA
Zip : 30606-5908
Country : US
Telephone Number : 706-548-4444
Fax Number : 706-548-2193
Provider Business Practice Location Address
First Line : 240 MITCHELL BRIDGE RD
Second Line :
City : ATHENS
State : GA
Zip : 30606-2043
Country : US
Telephone Number : 706-850-4955
Fax Number : 706-850-4958
Authorized Official
Title or Position : PRESIDENT
Name : DR. CHRISTOPHER RYAN THURMOND
Credential : PHARMD
Telephone Number : 706-548-4444
Provider Enumeration Date : 08/07/2014
Last Update Date : 11/15/2023

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Directions to “VILLAGE DRUG SHOP AT ADVANTAGE LLC ” Practice Location

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