Jasper Drug Store
LBN: Jasper Drug Co Inc
Jasper Drug Store is an health care organization with primary practice located at 1 N Main St , Jasper GA 30143-1500. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Jasper Drug Co Inc can be contacted via phone (706) 692-6427, or through Dunn, Lee via phone (706) 692-6427.
Contact Information
Primary practice address
1 N Main St
Jasper GA 30143-1500
Phone: (706) 692-6427
Fax: (706) 692-3121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE006155 | Georgia |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1205872660 |
|---|---|
| LBN Legal business name | Jasper Drug Co Inc |
| DBA Doing business as | Jasper Drug Store |
| Authorized official | Dunn, Lee RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Feb 20th, 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 | 1205872660 | NPPES |
| Other | 2013757 | PK | |
| MEDICAID | 00029873 | PK |
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