Sonoraville Pharmacy

LBN: Sonoraville Pharmacy, Inc.
Sonoraville Pharmacy is an health care organization with primary practice located at 6824 Fairmount Hwy Se , Calhoun GA 30701-4019. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Sonoraville Pharmacy, Inc. can be contacted via phone (706) 383-8604, or through Johnston, Larry Ralph via phone (706) 383-8604.

Contact Information

Primary practice address
6824 Fairmount Hwy Se Calhoun GA 30701-4019
Fax: (706) 383-8658
Website:
Authorized official contact:
Name: Johnston, Larry Ralph RPH.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE010145 Georgia

Profile Details

NPI number 1801274956
LBN Legal business name Sonoraville Pharmacy, Inc.
DBA Doing business as Sonoraville Pharmacy
Authorized official Johnston, Larry Ralph RPH.
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2015
Last updated May 9th, 2015 - about 11 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 1801274956 NPPES
Georgia Other PHRE010145 STATE LICENSE

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