Central State Hospital Pharmacy

LBN: Department Of Behavioral Health And Developmental Disabilities
Central State Hospital Pharmacy is an health care organization with primary practice located at 325 Lawrence Rd Central State Hospital, Milledgeville GA 31062-7525. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty. Department Of Behavioral Health And Developmental Disabilities can be contacted via phone (478) 445-4041, or through Latham, Larry via phone (478) 445-4128.

Contact Information

Primary practice address
325 Lawrence Rd Central State Hospital Milledgeville GA 31062-7525
Phone: (478) 445-4041
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Latham, Larry
Phone: (478) 445-4128

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X PHH006409 Georgia

Profile Details

NPI number 1861505430
LBN Legal business name Department Of Behavioral Health And Developmental Disabilities
DBA Doing business as Central State Hospital Pharmacy
Authorized official Latham, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2006
Last updated Sep 15th, 2011 - about 15 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 1861505430 NPPES
Georgia MEDICAID 00355704A

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