Southwest Georgia Compounding Pharmacy

LBN: Southwest Georgia Compounding Pharmacy
Southwest Georgia Compounding Pharmacy is an health care organization with primary practice located at 181 E Broad St , Camilla GA 31730-1966. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Southwest Georgia Compounding Pharmacy can be contacted via phone (229) 336-9334, or through Morgan, Joe Harris via phone (229) 336-9334.

Contact Information

Primary practice address
181 E Broad St Camilla GA 31730-1966
Phone: (229) 336-9334
Fax: (229) 336-9525
Website:
Map and Directions
Authorized official contact:
Name: Morgan, Joe Harris
Phone: (229) 336-9334

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X 009638 Georgia

Profile Details

NPI number 1982928834
LBN Legal business name Southwest Georgia Compounding Pharmacy
DBA Doing business as
Authorized official Morgan, Joe Harris
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2010
Last updated Mar 22nd, 2010 - about 16 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 1982928834 NPPES
Georgia Other 009638 PHARMACY STATE LISCENSE NUMBER

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