Peach Orchard Drugs

LBN: Terese Inc.
Peach Orchard Drugs is an health care organization with primary practice located at 2529 Peach Orchard Rd , Augusta GA 30906-2412. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Terese Inc. can be contacted via phone (706) 798-3253, or through Fordham, Terese K via phone (706) 798-3253.

Contact Information

Primary practice address
2529 Peach Orchard Rd Augusta GA 30906-2412
Phone: (706) 798-3253
Fax: (706) 798-3225
Website:
Map and Directions
Authorized official contact:
Name: Fordham, Terese K
Phone: (706) 798-3253

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X RPH09972 Georgia

Profile Details

NPI number 1013467190
LBN Legal business name Terese Inc.
DBA Doing business as Peach Orchard Drugs
Authorized official Fordham, Terese K
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2016
Last updated Oct 12th, 2016 - about 9 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 1013467190 NPPES
Georgia MEDICAID 787783075A

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