Jerry White'S Pharmacy, Inc

LBN: Jerry White'S Pharmacy, Inc
Jerry White'S Pharmacy, Inc is an health care organization with primary practice located at 3741 Highway 17 , Toccoa GA 30577-8275. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Jerry White'S Pharmacy, Inc can be contacted via phone (706) 886-2662, or through White, J Erry via phone (706) 886-2662.

Contact Information

Primary practice address
3741 Highway 17 Toccoa GA 30577-8275
Phone: (706) 886-2662
Fax: (706) 886-2867
Website:
Map and Directions
Authorized official contact:
Name: White, J Erry PAHRMACIST
Phone: (706) 886-2662

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE007089 Georgia

Profile Details

NPI number 1114087541
LBN Legal business name Jerry White'S Pharmacy, Inc
DBA Doing business as
Authorized official White, J Erry PAHRMACIST
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Mar 7th, 2023 - about 3 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 1114087541 NPPES
Georgia MEDICAID 00403686A

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