Clinic Pharmacy

LBN: Clinic Pharmacy Inc
Clinic Pharmacy is an health care organization with primary practice located at 58 Big A Rd Suite 101, Toccoa GA 30577-6017. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Clinic Pharmacy Inc can be contacted via phone (706) 886-2151, or through Elrod, Kimberly Beecher via phone (706) 886-2151.

Contact Information

Primary practice address
58 Big A Rd Suite 101 Toccoa GA 30577-6017
Phone: (706) 886-2151
Fax: (706) 297-7519
Website:
Map and Directions
Authorized official contact:
Name: Elrod, Kimberly Beecher
Phone: (706) 886-2151

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE002911 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1639115025
LBN Legal business name Clinic Pharmacy Inc
DBA Doing business as Clinic Pharmacy
Authorized official Elrod, Kimberly Beecher
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 10th, 2019 - about 7 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 1639115025 NPPES
Other 2019114 PK
MEDICAID 00647017A PK

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