Silver Creek Rx Llc

LBN: Silver Creek Rx Llc
Silver Creek Rx Llc is an health care organization with primary practice located at 4450 Rockmart Rd Se , Silver Creek GA 30173-2438. 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. Silver Creek Rx Llc can be contacted via phone (706) 292-0106, or through Purvis, Steven via phone (706) 292-0106.

Contact Information

Primary practice address
4450 Rockmart Rd Se Silver Creek GA 30173-2438
Phone: (706) 292-0106
Fax: (706) 292-0647
Website:
Map and Directions
Authorized official contact:
Name: Purvis, Steven
Phone: (706) 292-0106

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE010266 Georgia

Profile Details

NPI number 1780738245
LBN Legal business name Silver Creek Rx Llc
DBA Doing business as
Authorized official Purvis, Steven
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Jun 2nd, 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 1780738245 NPPES
Other 2158643 PK
MEDICAID 000821818A PK

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