Southern Hometown Pharmacy

LBN: Quinate Pharmacy Llc
Southern Hometown Pharmacy is an health care organization with primary practice located at 1557 Pooler Pkwy Suite 400, Pooler GA 31322. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Quinate Pharmacy Llc can be contacted via phone (912) 988-3005, or through Leavitt, Tracey via phone (912) 509-3330.

Contact Information

Primary practice address
1557 Pooler Pkwy Suite 400 Pooler GA 31322
Phone: (912) 988-3005
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leavitt, Tracey
Phone: (912) 509-3330

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1427518745
LBN Legal business name Quinate Pharmacy Llc
DBA Doing business as Southern Hometown Pharmacy
Authorized official Leavitt, Tracey
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2019
Last updated May 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 1427518745 NPPES
Georgia Other PHRE010716 STATE BOARD OF PHARMACY

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