Goodwater Pharmacy

LBN: Goodwater Pharmacy Inc
Goodwater Pharmacy is an health care organization with primary practice located at 21338 Al Highway 9 , Goodwater AL 35072-6621. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Goodwater Pharmacy Inc can be contacted via phone (256) 839-6361, or through Collins, Richard via phone (256) 839-6361.

Contact Information

Primary practice address
21338 Al Highway 9 Goodwater AL 35072-6621
Phone: (256) 839-6361
Fax: (256) 839-6481
Website:
Map and Directions
Authorized official contact:
Name: Collins, Richard RPH
Phone: (256) 839-6361

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 112684 Alabama

Profile Details

NPI number 1154425106
LBN Legal business name Goodwater Pharmacy Inc
DBA Doing business as Goodwater Pharmacy
Authorized official Collins, Richard RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jan 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154425106 NPPES
Other 1995706 PK
MEDICAID 100003637 PK

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