Pruitthealth Pharmacy Services - Valdosta, Inc.
Long Term Care Pharmacy
1711 River St, Valdosta
Georgia, 31601-5163
229-244-8868 Pruitthealth Pharmacy Services - Valdosta, Inc. is a Long Term Care Pharmacy in Valdosta, Georgia. It is located at 1711 River St, Valdosta and it's customer support contact number is 229-244-8868. The authorized person of Pruitthealth Pharmacy Services - Valdosta, Inc. is Mr. Neil L Pruitt Jr. who is Chairman And Ceo of the pharmacy and his contact number is 770-279-6200. Pruitthealth Pharmacy Services - Valdosta, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Pruitthealth Pharmacy Services - Valdosta, Inc. is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Pruitthealth Pharmacy Services - Valdosta, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Pruitthealth Pharmacy Services - Valdosta, Inc. |
| Type: | Long Term Care Pharmacy |
| Location: | 1711 River St, Valdosta,
Georgia, 31601-5163 |
| Phone: | 229-244-8868 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Neil L Pruitt Jr. |
| Position: | Chairman And Ceo |
| Contact Number: | 770-279-6200 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1609823061 |
| NPI Enumeration Date: | 30 May, 2006 |
| NPI Last Update On: | 03 Jun, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pruitthealth Pharmacy Services - Valdosta, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | | | Primary | |
| Clinical Medical Laboratory | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00344044A | Medicaid | Georgia | |
Medicare Enrollment:
Pruitthealth Pharmacy Services - Valdosta, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2163659939 | O20131226001681 | Pruitthealth Pharmacy Services-valdosta Inc | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1626 Jeurgens Ct,
Norcross, Georgia |
| Zip: | 30093-2219 |
| Phone Number: | 678-533-6382 |
| Fax Number: | 770-931-5278 |
Patients can reach Pruitthealth Pharmacy Services - Valdosta, Inc. at
1711 River St, Valdosta, Georgia or can
call on customer care at 229-244-8868.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.