Thomas Drug Store

LBN: Advanced Medical Group, Llc
Thomas Drug Store is an health care organization with primary practice located at 118 N Main St , Boston GA 31626-2257. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Advanced Medical Group, Llc can be contacted via phone (229) 498-1018, or through Wall, Vance T via phone (877) 645-3506.

Contact Information

Primary practice address
118 N Main St Boston GA 31626-2257
Phone: (229) 498-1018
Fax: (229) 498-1012
Website:
Map and Directions
Authorized official contact:
Name: Wall, Vance T RPH
Phone: (877) 645-3506

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE009897 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009897 Georgia

Profile Details

NPI number 1679811731
LBN Legal business name Advanced Medical Group, Llc
DBA Doing business as Thomas Drug Store
Authorized official Wall, Vance T RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2013
Last updated Jan 29th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679811731 NPPES
Georgia Other PHRE009897 RETAIL PHARMACY PERMIT

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