Nursing Home Pharmacy

LBN: Nursing Home Pharmacy Llc
Nursing Home Pharmacy is an health care organization with primary practice located at 1865 Bold Springs Rd Nw , Monroe GA 30656-4605. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Nursing Home Pharmacy Llc can be contacted via phone (770) 267-8677, or through Gleaton, John via phone (770) 267-8677.

Contact Information

Primary practice address
1865 Bold Springs Rd Nw Monroe GA 30656-4605
Phone: (770) 267-8677
Fax: (770) 267-6462
Website:
Map and Directions
Authorized official contact:
Name: Gleaton, John BS PHARMACY
Phone: (770) 267-8677

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE004071 Georgia

Profile Details

NPI number 1780680652
LBN Legal business name Nursing Home Pharmacy Llc
DBA Doing business as Nursing Home Pharmacy
Authorized official Gleaton, John BS PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2005
Last updated Aug 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780680652 NPPES
Georgia MEDICAID 00002164
Georgia Other 2012681

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