Brasstown Professional Pharmacy, Inc

LBN: Brasstown Professional Pharmacy, Inc
Brasstown Professional Pharmacy, Inc is an health care organization with primary practice located at 23 Murphy Hwy Ste B , Blairsville GA 30512-3157. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Brasstown Professional Pharmacy, Inc can be contacted via phone (706) 745-2303, or through Galloway, Amy S via phone (706) 745-2303.

Contact Information

Primary practice address
23 Murphy Hwy Ste B Blairsville GA 30512-3157
Phone: (706) 745-2303
Fax: (706) 745-2333
Website:
Map and Directions
Authorized official contact:
Name: Galloway, Amy S R.PH., COF
Phone: (706) 745-2303

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 8635 Georgia
Suppliers / Customized Equipment 332BC3200X D19680 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X 8635 Georgia
Suppliers / Compounding Pharmacy 3336C0004X 8635 Georgia
Suppliers / Prosthetic/Orthotic Supplier 335E00000X C22010 Georgia

Profile Details

NPI number 1730115619
LBN Legal business name Brasstown Professional Pharmacy, Inc
DBA Doing business as
Authorized official Galloway, Amy S R.PH., COF
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2006
Last updated Feb 3rd, 2014 - about 12 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 1730115619 NPPES
Georgia MEDICAID 00966996A
Georgia MEDICAID 00966996B
Georgia MEDICAID 7704128
Georgia MEDICAID 0116914

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