Live Oak Pharmacy

LBN: Rx Corner Enterprises Llc
Live Oak Pharmacy is an health care organization with primary practice located at 98 E Oakland Ave , Camilla GA 31730-1529. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Rx Corner Enterprises Llc can be contacted via phone (229) 336-2255, or through Moye, Thomas via phone (229) 225-7935.

Contact Information

Primary practice address
98 E Oakland Ave Camilla GA 31730-1529
Phone: (229) 336-2255
Fax: (229) 336-2257
Website:
Map and Directions
Authorized official contact:
Name: Moye, Thomas
Phone: (229) 225-7935

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009800 Georgia

Profile Details

NPI number 1841561453
LBN Legal business name Rx Corner Enterprises Llc
DBA Doing business as Live Oak Pharmacy
Authorized official Moye, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2012
Last updated Jan 17th, 2017 - about 9 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 1841561453 NPPES
Other 2133504 PK
MEDICAID 003120020A PK

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