Villa Rica Rx Llc
Community/Retail Pharmacy
222 West Wilson Street, Villa Rica
Georgia, 30180
770-456-4663 770-456-4661
Villa Rica Rx Llc is a Community/Retail Pharmacy in Villa Rica, Georgia. It is located at 222 West Wilson Street, Villa Rica and it's customer support contact number is 770-456-4663. The authorized person of Villa Rica Rx Llc is Mr. Colton Harold Blackmon, PHARM D who is Owner of the pharmacy and his contact number is 770-456-4663. Active license number of Villa Rica Rx Llc is PHRE010412 for Community/Retail Pharmacy in Georgia. Villa Rica Rx Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Villa Rica Rx Llc is 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 health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Villa Rica Rx Llc 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: | Villa Rica Rx Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 222 West Wilson Street, Villa Rica,
Georgia, 30180 |
| Phone: | 770-456-4663 |
| Fax: | 770-456-4661 |
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. Colton Harold Blackmon |
| Credentials: | PHARM D |
| Position: | Owner |
| Contact Number: | 770-456-4663 |
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: | 1619262433 |
| NPI Enumeration Date: | 09 Jun, 2011 |
| NPI Last Update On: | 26 Jun, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Villa Rica Rx Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHRE010412 | Georgia | Primary | |
| Community/Retail Pharmacy | PHRE009763 | Georgia | Secondary | |
Medicare Enrollment:
Villa Rica Rx Llc 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 |
| 2264695550 | O20151218001424 | Villa Rica Drugs Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 222 West Wilson Street,
Villa Rica, Georgia |
| Zip: | 30180 |
| Phone Number: | 770-456-4663 |
| Fax Number: | 770-456-4661 |
Patients can reach Villa Rica Rx Llc at
222 West Wilson Street, Villa Rica, Georgia or can
call on customer care at 770-456-4663.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.