Wrens Drug

LBN: Advanced Medical Group Llc
Wrens Drug is an health care organization with primary practice located at 206 E Broad St , Wrens GA 30833-1109. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Advanced Medical Group Llc can be contacted via phone (706) 547-2225, or through Rawlins, Kellie via phone (678) 689-2389.

Contact Information

Primary practice address
206 E Broad St Wrens GA 30833-1109
Phone: (706) 547-2225
Fax: (706) 547-3012
Website:
Map and Directions
Authorized official contact:
Name: Rawlins, Kellie
Phone: (678) 689-2389

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE010430 Georgia

Profile Details

NPI number 1699274167
LBN Legal business name Advanced Medical Group Llc
DBA Doing business as Wrens Drug
Authorized official Rawlins, Kellie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2018
Last updated May 17th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699274167 NPPES
Georgia MEDICAID 744933579A
Georgia Other 2175805

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