Roberta Drugs
LBN: Roberta Pharmacy Llc
Roberta Drugs is an health care organization with primary practice located at 4 Wright Ave , Roberta GA 31078-4932. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Roberta Pharmacy Llc can be contacted via phone (478) 836-3515, or through Sandlin, Melanie via phone (478) 836-3515.
Contact Information
Primary practice address
4 Wright Ave
Roberta GA 31078-4932
Phone: (478) 836-3515
Fax: (478) 836-3319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE009987 | Georgia |
Profile Details
| NPI number | 1003238890 |
|---|---|
| LBN Legal business name | Roberta Pharmacy Llc |
| DBA Doing business as | Roberta Drugs |
| Authorized official | Sandlin, Melanie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 13th, 2014 |
| Last updated | Mar 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003238890 | NPPES |
| Georgia | MEDICAID | 003148072A | |
| Georgia | Other | 2145119 |
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