<Unavail>
LBN: Unison Behavioral Health Pharmacy
<Unavail> is an health care organization with primary practice located at 1007 Mary Street , Waycross GA 31501. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Suppliers / Clinic Pharmacy. Agencies / Community/Behavioral Health is the primary health care specialty.
Unison Behavioral Health Pharmacy can be contacted via phone (912) 449-7147, or through Simpson, Henry Lynn via phone (912) 449-7147.
Contact Information
Primary practice address
1007 Mary Street
Waycross GA 31501
Phone: (912) 449-7147
Fax: (912) 449-7089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | Georgia | |
| Suppliers / Clinic Pharmacy | 3336C0002X | 5641 | Georgia |
| Suppliers / Clinic Pharmacy | 3336C0002X |
Profile Details
| NPI number | 1073568838 |
|---|---|
| LBN Legal business name | Unison Behavioral Health Pharmacy |
| DBA Doing business as | <Unavail> |
| Authorized official | Simpson, Henry Lynn R.PH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Sep 30th, 2013 - about 13 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 | 1073568838 | NPPES |
| Georgia | MEDICAID | 00611014A | |
| Georgia | MEDICAID | PHRE005641 | |
| Georgia | Other | 1115775 |
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