Presbyterian Home Pharmacy
LBN: Presbyterian Home Pharmacy Inc
Presbyterian Home Pharmacy is an health care organization with primary practice located at 1901 W Screven St , Quitman GA 31643-3913. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Presbyterian Home Pharmacy Inc can be contacted via phone (229) 263-6130, or through Patterson, Alex via phone (229) 263-6101.
Contact Information
Primary practice address
1901 W Screven St
Quitman GA 31643-3913
Phone: (229) 263-6130
Fax: (229) 263-6169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | PHRE005010 | Georgia |
Profile Details
| NPI number | 1760528285 |
|---|---|
| LBN Legal business name | Presbyterian Home Pharmacy Inc |
| DBA Doing business as | Presbyterian Home Pharmacy |
| Authorized official | Patterson, Alex MS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Dec 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760528285 | NPPES |
| Georgia | MEDICAID | 00142579B | |
| Georgia | Other | 2017528 |
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