Willacoochee Pharmacy

LBN: Sls Pharmacy Inc
Willacoochee Pharmacy is an health care organization with primary practice located at 561 East Main Street , Willacoochee GA 31650. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Sls Pharmacy Inc can be contacted via phone (912) 534-5195, or through Story, Sammy via phone (912) 534-5195.

Contact Information

Primary practice address
561 East Main Street Willacoochee GA 31650
Phone: (912) 534-5195
Fax: (912) 534-6383
Website:
Map and Directions
Authorized official contact:
Name: Story, Sammy RPH
Phone: (912) 534-5195

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE006506 Georgia

Profile Details

NPI number 1851446454
LBN Legal business name Sls Pharmacy Inc
DBA Doing business as Willacoochee Pharmacy
Authorized official Story, Sammy RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 13th, 2011 - about 15 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 1851446454 NPPES
Georgia MEDICAID 000022844A

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