Pine Mountain Pharmacy, Inc

LBN: Pine Mountain Pharmacy, Inc
Pine Mountain Pharmacy, Inc is an health care organization with primary practice located at 145 N Main Ave , Pine Mountain GA 31822-0500. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Pine Mountain Pharmacy, Inc can be contacted via phone (706) 663-2255, or through Storey, Charles Iverson via phone (706) 663-2255.

Contact Information

Primary practice address
145 N Main Ave Pine Mountain GA 31822-0500
Phone: (706) 663-2255
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Storey, Charles Iverson RPH
Phone: (706) 663-2255

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 158 Georgia

Profile Details

NPI number 1447280672
LBN Legal business name Pine Mountain Pharmacy, Inc
DBA Doing business as
Authorized official Storey, Charles Iverson RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Aug 22nd, 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 1447280672 NPPES
Georgia Other 1112969 NABP

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