Village Pharmacy

LBN: Village Pharmacy Inc
Village Pharmacy is an health care organization with primary practice located at 3697 Highway 5 Ste 6 , Douglasville GA 30135-6901. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Village Pharmacy Inc can be contacted via phone (678) 501-5165, or through Parker, Christy via phone (678) 501-5165.

Contact Information

Primary practice address
3697 Highway 5 Ste 6 Douglasville GA 30135-6901
Fax: (678) 501-5170
Website:
Authorized official contact:
Name: Parker, Christy PHARM.D.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009649 Georgia
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1366767105
LBN Legal business name Village Pharmacy Inc
DBA Doing business as Village Pharmacy
Authorized official Parker, Christy PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2010
Last updated Feb 19th, 2014 - about 12 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 1366767105 NPPES
Georgia MEDICAID 691432518A
Georgia Other 2124510

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