Bacon County Hospital Pharmacy

LBN: Bacon County Health Svc Inc
Bacon County Hospital Pharmacy is an health care organization with primary practice located at 302 S Wayne St , Alma GA 31510-2922. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Bacon County Health Svc Inc can be contacted via phone (912) 632-8961, or through Lott, Richard via phone (912) 632-8961.

Contact Information

Primary practice address
302 S Wayne St Alma GA 31510-2922
Phone: (912) 632-8961
Fax: (912) 632-2231
Website:
Map and Directions
Authorized official contact:
Name: Lott, Richard PHRMD
Phone: (912) 632-8961

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X 8086 Georgia

Profile Details

NPI number 1972666576
LBN Legal business name Bacon County Health Svc Inc
DBA Doing business as Bacon County Hospital Pharmacy
Authorized official Lott, Richard PHRMD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Nov 4th, 2016 - about 10 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 1972666576 NPPES
Georgia MEDICAID 00000118B
Georgia Other 2013239

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