<Unavail>

LBN: Summerville Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 2839 Central Ave , Augusta GA 30909-3904. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Summerville Pharmacy Inc can be contacted via phone (706) 481-7140, or through Woods, Rob via phone (706) 481-7140.

Contact Information

Primary practice address
2839 Central Ave Augusta GA 30909-3904
Phone: (706) 481-7140
Fax: (706) 733-7301
Website:
Map and Directions
Authorized official contact:
Name: Woods, Rob
Phone: (706) 481-7140

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE004193 Georgia

Profile Details

NPI number 1497791305
LBN Legal business name Summerville Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Woods, Rob
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 8th, 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 1497791305 NPPES
Other 2013033 PK
MEDICAID 000493556C PK

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