Monticello Drugs

LBN: Monticello Drugs, Inc
Monticello Drugs is an health care organization with primary practice located at 679 W Washington St , Monticello GA 31064-1371. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Long Term Care Pharmacy. Pharmacy Service Providers / Pharmacist is the primary health care specialty. Monticello Drugs, Inc can be contacted via phone (706) 468-6836, or through Leach, David K via phone (706) 468-6836.

Contact Information

Primary practice address
679 W Washington St Monticello GA 31064-1371
Fax: (706) 468-1973
Website:
Authorized official contact:
Name: Leach, David K PHARM. D.

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PHRE004902 Georgia
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1124168786
LBN Legal business name Monticello Drugs, Inc
DBA Doing business as Monticello Drugs
Authorized official Leach, David K PHARM. D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 18th, 2019 - about 7 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 1124168786 NPPES
Georgia MEDICAID 000032271A

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