Jackson Drug Co

LBN: Rr Long Inc
Jackson Drug Co is an health care organization with primary practice located at 4 2Nd St , Jackson GA 30233-1920. 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. Rr Long Inc can be contacted via phone (770) 775-7880, or through Hogan, Stanley via phone (770) 775-7880.

Contact Information

Primary practice address
4 2Nd St Jackson GA 30233-1920
Phone: (770) 775-7880
Fax: (770) 775-1279
Website:
Map and Directions
Authorized official contact:
Name: Hogan, Stanley RPH
Phone: (770) 775-7880

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE004185 Georgia

Profile Details

NPI number 1174567853
LBN Legal business name Rr Long Inc
DBA Doing business as Jackson Drug Co
Authorized official Hogan, Stanley RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 1st, 2013 - about 13 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 1174567853 NPPES
Georgia MEDICAID 1110903
Georgia MEDICAID 00029807A
Georgia Other 2012451

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