Provider Demographics
NPI:1306980008
Name:CONSULTANTS' PHARMACY LLC
Entity type:Organization
Organization Name:CONSULTANTS' PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:478-731-2185
Mailing Address - Street 1:101 OCMULGEE SPRINGS DRIVE
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31211
Mailing Address - Country:US
Mailing Address - Phone:478-731-2185
Mailing Address - Fax:478-746-6294
Practice Address - Street 1:105 PATROL RD STE A
Practice Address - Street 2:
Practice Address - City:FORSYTH
Practice Address - State:GA
Practice Address - Zip Code:31029-1800
Practice Address - Country:US
Practice Address - Phone:478-741-3732
Practice Address - Fax:478-746-6294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X, 3336C0003X
GAPHRE0104163336C0003X
GAPHRE0085033336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2155649OtherPK