Chatuge Pharmacy

LBN: Kerry Louis Wilson
Chatuge Pharmacy is an health care organization with primary practice located at 579 N Main St , Hiawassee GA 30546-2219. 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. Kerry Louis Wilson can be contacted via phone (706) 896-4686, or through Wilson, Patti via phone (706) 896-4686.

Contact Information

Primary practice address
579 N Main St Hiawassee GA 30546-2219
Phone: (706) 896-4686
Fax: (706) 896-2325
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Patti BBA
Phone: (706) 896-4686

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 007904 Georgia

Profile Details

NPI number 1720156524
LBN Legal business name Kerry Louis Wilson
DBA Doing business as Chatuge Pharmacy
Authorized official Wilson, Patti BBA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Jun 18th, 2015 - about 11 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 1720156524 NPPES
North Carolina MEDICAID 0116483
North Carolina Other 2019162
North Carolina MEDICAID 00679522A

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