<Unavail>
LBN: Compounding Specialists At Lake Oconee Inc
<Unavail> is an health care organization with primary practice located at 1110 Commerce Dr Ste 110 , Greensboro GA 30642-7444. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Compounding Specialists At Lake Oconee Inc can be contacted via phone (706) 923-2933, or through Vaughan, Carey via phone (706) 923-2933.
Contact Information
Primary practice address
1110 Commerce Dr Ste 110
Greensboro GA 30642-7444
Phone: (706) 923-2933
Fax: (706) 923-2930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE009902 | Georgia |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1336323567 |
|---|---|
| LBN Legal business name | Compounding Specialists At Lake Oconee Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Vaughan, Carey PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 24th, 2007 |
| Last updated | Feb 20th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336323567 | NPPES |
| Other | 2117665 | PK | |
| MEDICAID | 003130409A | PK |
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