Villa Rica Rx Llc is an authorized DME supplier for medicare equipments and products.
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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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