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NPI Code Detail

MEDICARE: PHARMACY INVESTMENT COORDINATORS INC

MEDICARE: PHARMACY INVESTMENT COORDINATORS 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
1333600000XPharmacy
23336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1306601505
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHARMACY INVESTMENT COORDINATORS INC
Provider Business Mailing Address
First Line : PO BOX 72188
Second Line :
City : ALBANY
State : GA
Zip : 31708-2188
Country : US
Telephone Number : 229-435-4571
Fax Number : 229-878-4926
Provider Business Practice Location Address
First Line : 218 S HIGHWAY 71
Second Line :
City : WEWAHITCHKA
State : FL
Zip : 32465-4305
Country : US
Telephone Number : 850-639-5065
Fax Number : 850-639-4077
Authorized Official
Title or Position : ACCOUNTING MANAGER
Name : TRACY C ALLIGOOD
Credential :
Telephone Number : 229-435-4571
Provider Enumeration Date : 02/16/2024
Last Update Date : 02/16/2024

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Directions to “PHARMACY INVESTMENT COORDINATORS INC ” Practice Location

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