Fred'S Pharmacy #3816

LBN: Little Creek Drug Llc
Fred'S Pharmacy #3816 is an health care organization with primary practice located at 141 Eighth St. , Mc Rae- Helena GA 31037. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Little Creek Drug Llc can be contacted via phone (229) 868-2580, or through Harrison, Travis Ray via phone (912) 294-1684.

Contact Information

Primary practice address
141 Eighth St. Mc Rae- Helena GA 31037
Phone: (229) 868-2580
Fax: (229) 868-2529
Website:
Map and Directions
Authorized official contact:
Name: Harrison, Travis Ray PHARM D
Phone: (912) 294-1684

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1831559152
LBN Legal business name Little Creek Drug Llc
DBA Doing business as Fred'S Pharmacy #3816
Authorized official Harrison, Travis Ray PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 29th, 2016
Last updated Nov 25th, 2020 - about 6 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 1831559152 NPPES
Georgia MEDICAID 003174007A

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