Living Well Central Pharmacy
LBN: Living Well Central Pharmacy Inc
Living Well Central Pharmacy is an health care organization with primary practice located at 2976 Highway 76 Unit A, Chatsworth GA 30705-6981. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Living Well Central Pharmacy Inc can be contacted via phone (706) 695-0909, or through Bryant, Paul via phone (706) 260-7998.
Contact Information
Primary practice address
2976 Highway 76 Unit A
Chatsworth GA 30705-6981
Phone: (706) 695-0909
Fax: (706) 517-8167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE009052 | Georgia |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1770594319 |
|---|---|
| LBN Legal business name | Living Well Central Pharmacy Inc |
| DBA Doing business as | Living Well Central Pharmacy |
| Authorized official | Bryant, Paul RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Sep 14th, 2016 - about 10 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 | 1770594319 | NPPES |
| Georgia | MEDICAID | 056782062A | |
| Georgia | Other | 2016313 |
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