Longley'S Pharmacy
LBN: Rossville Worx Llc
Longley'S Pharmacy is an health care organization with primary practice located at 785 Chickamauga Ave , Rossville GA 30741-1404. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Rossville Worx Llc can be contacted via phone (706) 866-1220, or through Bohannon, Greg Odell via phone (423) 309-1517.
Contact Information
Primary practice address
785 Chickamauga Ave
Rossville GA 30741-1404
Phone: (706) 866-1220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1235668328 |
|---|---|
| LBN Legal business name | Rossville Worx Llc |
| DBA Doing business as | Longley'S Pharmacy |
| Authorized official | Bohannon, Greg Odell |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 12th, 2017 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1235668328 | NPPES |
| Georgia | MEDICAID | 003200177A | |
| Georgia | MEDICAID | Q032764 |
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