Harveys Supermarket Pharmacy #2365

LBN: J. H. Harvey, Co., Llc
Harveys Supermarket Pharmacy #2365 is an health care organization with primary practice located at 955 S 1St St , Jesup GA 31545-0331. 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. J. H. Harvey, Co., Llc can be contacted via phone (912) 427-6239, or through Fairbanks, Courtney via phone (207) 885-7454.

Contact Information

Primary practice address
955 S 1St St Jesup GA 31545-0331
Fax: (912) 427-6295
Website:
Authorized official contact:
Name: Fairbanks, Courtney

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009098 Georgia

Profile Details

NPI number 1982776845
LBN Legal business name J. H. Harvey, Co., Llc
DBA Doing business as Harveys Supermarket Pharmacy #2365
Authorized official Fairbanks, Courtney
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Mar 11th, 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 1982776845 NPPES
Georgia MEDICAID 019754197A
Georgia Other 1155161

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