Crawford W Long Pharmacy Inc

LBN: Crawford W Long Pharmacy Inc
Crawford W Long Pharmacy Inc is an health care organization with primary practice located at 86 N Public Sq , Jefferson GA 30549-1084. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Crawford W Long Pharmacy Inc can be contacted via phone (706) 367-5285, or through Gurley, Fred via phone (706) 367-5285.

Contact Information

Primary practice address
86 N Public Sq Jefferson GA 30549-1084
Phone: (706) 367-5285
Fax: (706) 367-2283
Website:
Map and Directions
Authorized official contact:
Name: Gurley, Fred RPH
Phone: (706) 367-5285

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE006312 Georgia
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1659385060
LBN Legal business name Crawford W Long Pharmacy Inc
DBA Doing business as
Authorized official Gurley, Fred RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2006
Last updated Feb 24th, 2020 - about 6 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 1659385060 NPPES
Georgia MEDICAID 000254958

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