<Unavail>

LBN: Winnersville Pharmacy, Llc
<Unavail> is an health care organization with primary practice located at 3782 Old Us Highway 41 N Suite C, Valdosta GA 31602-6834. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Winnersville Pharmacy, Llc can be contacted via phone (229) 253-0067, or through Allen, Troy via phone (229) 253-0067.

Contact Information

Primary practice address
3782 Old Us Highway 41 N Suite C Valdosta GA 31602-6834
Phone: (229) 253-0067
Fax: (229) 219-1588
Website:
Map and Directions
Authorized official contact:
Name: Allen, Troy
Phone: (229) 253-0067

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE010062 Georgia
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1760884233
LBN Legal business name Winnersville Pharmacy, Llc
DBA Doing business as <Unavail>
Authorized official Allen, Troy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2014
Last updated Feb 20th, 2017 - 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 1760884233 NPPES
Other 2148299 PK

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