Longley Pharmacy

LBN: Rocky Top Pharmacy Inc
Longley Pharmacy is an health care organization with primary practice located at 785 Chickamauga Ave , Rossville GA 30741-1404. 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. Rocky Top Pharmacy Inc can be contacted via phone (706) 866-1220, or through Grimmitt, Jerry via phone (706) 866-1220.

Contact Information

Primary practice address
785 Chickamauga Ave Rossville GA 30741-1404
Phone: (706) 866-1220
Fax: (706) 861-7505
Website:
Map and Directions
Authorized official contact:
Name: Grimmitt, Jerry RPH
Phone: (706) 866-1220

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE007220 Georgia

Profile Details

NPI number 1073687596
LBN Legal business name Rocky Top Pharmacy Inc
DBA Doing business as Longley Pharmacy
Authorized official Grimmitt, Jerry RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Apr 20th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073687596 NPPES
Georgia MEDICAID 00438017A
Georgia Other 2012939

Popular Providers