Convenient Care Pharmacy #2

LBN: South Georgia Pharmacy Services Inc
Convenient Care Pharmacy #2 is an health care organization with primary practice located at 720 W Central Ave , Moultrie GA 31768-3560. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. South Georgia Pharmacy Services Inc can be contacted via phone (229) 890-6054, or through Yarbrough, Gregory L via phone (229) 890-6054.

Contact Information

Primary practice address
720 W Central Ave Moultrie GA 31768-3560
Phone: (229) 890-6054
Fax: (229) 891-4087
Website:
Map and Directions
Authorized official contact:
Name: Yarbrough, Gregory L
Phone: (229) 890-6054

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1295729861
LBN Legal business name South Georgia Pharmacy Services Inc
DBA Doing business as Convenient Care Pharmacy #2
Authorized official Yarbrough, Gregory L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2005
Last updated Mar 30th, 2020 - about 6 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 1295729861 NPPES
Georgia MEDICAID 00814173A
Georgia Other 1145932

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