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 only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Jasper Drug Co Inc can be contacted via phone (706) 692-6427, or through Dunn, Lee J via phone (706) 692-6427.

Contact Information

Primary practice address
1 N Main St Jasper GA 30143-1500
Phone: (706) 692-6427
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dunn, Lee J
Phone: (706) 692-6427

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE006155 Georgia

Profile Details

NPI number 1700398849
LBN Legal business name Jasper Drug Co Inc
DBA Doing business as Jasper Drug Store
Authorized official Dunn, Lee J
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 30th, 2017
Last updated Oct 30th, 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 1700398849 NPPES
Georgia MEDICAID 00029873

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