Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Qualthera Georgia Holdings, Ltd Co

Organization Pharmacy · NPI 1770376469

Qualthera Georgia Holdings, Ltd Co is a Pharmacy in Columbus, Georgia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3290 Williams Rd Ste Bandc
Columbus, GA 31909-5614
Phone: (706) 405-3277
Fax: (706) 940-0755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X
Compounding Pharmacy Taxonomy 3336C0004X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1770376469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Prentiss — President · (706) 405-3277
Other names Columbus Custom Rx Pharmacy Compounding And Wellness
NPI enumeratedMay 26, 2025
Last updated in NPPESMay 26, 2025
Certification dateMay 26, 2025
Mailing address3290 Williams Rd Ste Bandc, Columbus, GA 31909-5614

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