Bennett'S Hometown Pharmacy, Llc

LBN: Bennett'S Hometown Pharmacy, Llc
Bennett'S Hometown Pharmacy, Llc is an health care organization with primary practice located at 13202 Cleveland St W Ste 100 , Nahunta GA 31553-2842. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bennett'S Hometown Pharmacy, Llc can be contacted via phone (912) 462-3784, or through Bennett, Denise B via phone (912) 462-3784.

Contact Information

Primary practice address
13202 Cleveland St W Ste 100 Nahunta GA 31553-2842
Phone: (912) 462-3784
Fax: (912) 462-8040
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Denise B R.PH.
Phone: (912) 462-3784

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE008878 Georgia

Profile Details

NPI number 1902963648
LBN Legal business name Bennett'S Hometown Pharmacy, Llc
DBA Doing business as
Authorized official Bennett, Denise B R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated May 12th, 2009 - about 17 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 1902963648 NPPES
Georgia MEDICAID 735642371B
Georgia MEDICAID 735642371A

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