<Unavail>
LBN: Fulghum Drugs Inc
<Unavail> is an health care organization with primary practice located at 34 Nw Park Ave , Baxley GA 31513-0049. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Fulghum Drugs Inc can be contacted via phone (912) 367-2488, or through Dixon, Ray via phone (912) 367-2488.
Contact Information
Primary practice address
34 Nw Park Ave
Baxley GA 31513-0049
Phone: (912) 367-2488
Fax: (912) 367-7235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE005546 | Georgia |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1407035579 |
|---|---|
| LBN Legal business name | Fulghum Drugs Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Dixon, Ray PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 25th, 2007 |
| Last updated | Apr 19th, 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 | 1407035579 | NPPES |
| Georgia | MEDICAID | 000191441A | |
| Georgia | Other | 2016827 |
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