Organization · Type 2 NPI

Abundant Life Pharmacy & Health Foods Inc

Community/Retail Pharmacy · Baxley, GA

NPI number 1003096025 Active

Practice location

117 N Main St
Baxley, GA 31513-0070

Call (912) 367-8404 Map

Fax (912) 367-8405

Other practice locations

117 N Main St, Baxley, GA 31513-0070

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHRE009480 (GA)
Community/Retail Pharmacy	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

Other community/retail pharmacy providers in Baxley

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NPI record

NPI: 1003096025
Entity type: Organization (Type 2)
Issued: Nov 7, 2007
Last updated: Nov 17, 2021
Status: Active

Other names

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Abundant Life Pharmacy and Health Foods Inc · doing business as
Abundant Life Pharmacy and Health Foods Inc · doing business as

Authorized official

Lisa Hall, PHRMD
Owner
(912) 367-8404

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003096025

Abundant Life Pharmacy & Health Foods Inc's National Provider Identifier is 1003096025, issued on Nov 7, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Baxley, GA. The record was last updated on Nov 17, 2021.