Southeastern Medical Compounding Llc
LBN: Southeastern Medical Compounding Llc
Southeastern Medical Compounding Llc is an health care organization with primary practice located at 709 Mall Blvd Rm 356B , Savannah GA 31406-4805. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty.
Southeastern Medical Compounding Llc can be contacted via phone (912) 201-8138, or through Kennedy, John via phone (912) 201-8138.
Contact Information
Primary practice address
709 Mall Blvd Rm 356B
Savannah GA 31406-4805
Phone: (912) 201-8138
Fax: (877) 329-0079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y006009 | Arizona |
| Suppliers / Compounding Pharmacy | 3336C0004X | PHRE009607 | Georgia |
| Suppliers / Compounding Pharmacy | 3336C0004X | 2013005924 | Missouri |
| Suppliers / Compounding Pharmacy | 3336C0004X | 114078 | Alabama |
| Suppliers / Compounding Pharmacy | 3336C0004X | 5301009997 | Michigan |
| Suppliers / Compounding Pharmacy | 3336C0004X | 264044 | Minnesota |
| Suppliers / Compounding Pharmacy | 3336C0004X | 27038 | Texas |
| Suppliers / Compounding Pharmacy | 3336C0004X | PH25026 | Florida |
| Suppliers / Compounding Pharmacy | 3336C0004X | 022297550 | Ohio |
Profile Details
| NPI number | 1467783209 |
|---|---|
| LBN Legal business name | Southeastern Medical Compounding Llc |
| DBA Doing business as | Southeastern Medical Compounding Llc |
| Authorized official | Kennedy, John |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 19th, 2010 |
| Last updated | Jun 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467783209 | NPPES |
| Other | 2140641 | PK |
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