OrganizationActive
Abundant Life Pharmacy & Health Foods Inc
NPI 1003096025 · Community/Retail Pharmacy · Baxley, GA
Provider details
- NPI number
- 1003096025
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lisa Hall, Owner(912) 367-8404
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Practice location
117 N Main St
Baxley, GA 31513-0070
Phone: (912) 367-8404
Fax: (912) 367-8405
Approximate (ZIP-level) locationGet directions
Mailing address
117 N Main St
Baxley, GA 31513-0070
Other names (DBA / former)
- Doing business as
- Abundant Life Pharmacy and Health Foods Inc
- Doing business as
- Abundant Life Pharmacy and Health Foods Inc
Additional practice locations (1)
- 117 N Main StBaxley, GA 31513-0070
Registry dates
- Enumerated
- 2007-11-07
- Last updated
- 2021-11-17
- Certified
- 2021-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.