Ocilla Pharmacy

LBN: Ocilla Pharmacy, Inc.
Ocilla Pharmacy is an health care organization with primary practice located at 515 N Irwin Ave , Ocilla GA 31774-5007. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ocilla Pharmacy, Inc. can be contacted via phone (229) 468-5929, or through Price, John D via phone (229) 468-5929.

Contact Information

Primary practice address
515 N Irwin Ave Ocilla GA 31774-5007
Phone: (229) 468-5929
Fax: (229) 468-7313
Website:
Map and Directions
Authorized official contact:
Name: Price, John D PHARMD
Phone: (229) 468-5929

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PHRE003436 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE003436 Georgia
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE003436 Georgia

Profile Details

NPI number 1609926500
LBN Legal business name Ocilla Pharmacy, Inc.
DBA Doing business as Ocilla Pharmacy
Authorized official Price, John D PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Oct 11th, 2021 - about 5 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 1609926500 NPPES
Georgia MEDICAID 00032744A

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