Smith'S Pharmacy

LBN: Smith'S Pharmacy
Smith'S Pharmacy is an health care organization with primary practice located at 10 North Poplar St , Butler GA 31006. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Smith'S Pharmacy can be contacted via phone (478) 862-5655, or through Bazemore, Robert Johnny via phone (478) 862-5655.

Contact Information

Primary practice address
10 North Poplar St Butler GA 31006
Phone: (478) 862-5655
Fax: (478) 862-2811
Website:
Map and Directions
Authorized official contact:
Name: Bazemore, Robert Johnny DOCTOR OF PHARMACY
Phone: (478) 862-5655

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE004545 Georgia

Profile Details

NPI number 1144333915
LBN Legal business name Smith'S Pharmacy
DBA Doing business as
Authorized official Bazemore, Robert Johnny DOCTOR OF PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2006
Last updated Jun 26th, 2008 - about 18 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 1144333915 NPPES
Georgia MEDICAID 00793295A
Georgia MEDICAID 00793295B

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