Clarkesville Drug

LBN: Clarkesville Drug Inc
Clarkesville Drug is an health care organization with primary practice located at 596 W Louise St Ste D, Clarkesville GA 30523-5849. 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. Clarkesville Drug Inc can be contacted via phone (706) 754-3763, or through Ledbetter, David via phone (706) 754-3763.

Contact Information

Primary practice address
596 W Louise St Ste D Clarkesville GA 30523-5849
Phone: (706) 754-3763
Fax: (706) 839-1293
Website:
Map and Directions
Authorized official contact:
Name: Ledbetter, David
Phone: (706) 754-3763

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE007029 Georgia

Profile Details

NPI number 1033160668
LBN Legal business name Clarkesville Drug Inc
DBA Doing business as Clarkesville Drug
Authorized official Ledbetter, David
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Dec 6th, 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 1033160668 NPPES
Other 2015959 PK
MEDICAID 00385371B PK
MEDICAID 00385371A PK

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