Rudys Hospital Pharmacy

LBN: G.R.C. Inc.
Rudys Hospital Pharmacy is an health care organization with primary practice located at 1802 Lee Ave , Tifton GA 31794-3639. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. G.R.C. Inc. can be contacted via phone (229) 382-8621, or through Cox, Guy via phone (229) 382-8621.

Contact Information

Primary practice address
1802 Lee Ave Tifton GA 31794-3639
Phone: (229) 382-8621
Fax: (229) 382-1041
Website:
Map and Directions
Authorized official contact:
Name: Cox, Guy
Phone: (229) 382-8621

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5553 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X 5553 Georgia

Profile Details

NPI number 1659447431
LBN Legal business name G.R.C. Inc.
DBA Doing business as Rudys Hospital Pharmacy
Authorized official Cox, Guy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 25th, 2006
Last updated Feb 12th, 2008 - about 18 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 1659447431 NPPES
Other 1114963 NABP
MEDICAID 00453395A NABP

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