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South Central Primary Care Center, Inc

NPI 1114755931ActiveOrganization· Pharmacy· Valdosta, GA

Pharmacy in Valdosta, Georgia, registered in NPPES in July 2024. The authorized official on file is Robert Bonds Tucker, Ceo.

Overview

NPI1114755931
StatusActive
Entity typeOrganization
NPI issuedJul 23, 2024
Last updated in NPPESMar 31, 2025
Certified by providerMar 31, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacy providers in Valdosta

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