Abundant Life Pharmacy And Health Foods Inc
LBN: Abundant Life Pharmacy & Health Foods Inc
Abundant Life Pharmacy And Health Foods Inc is an health care organization with primary practice located at 117 N Main St , Baxley GA 31513-0070. 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.
Abundant Life Pharmacy & Health Foods Inc can be contacted via phone (912) 367-8404, or through Hall, Lisa via phone (912) 367-8404.
Contact Information
Primary practice address
117 N Main St
Baxley GA 31513-0070
Phone: (912) 367-8404
Fax: (912) 367-8405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE009480 | Georgia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1003096025 |
|---|---|
| LBN Legal business name | Abundant Life Pharmacy & Health Foods Inc |
| DBA Doing business as | Abundant Life Pharmacy And Health Foods Inc |
| Authorized official | Hall, Lisa PHRMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2007 |
| Last updated | Nov 17th, 2021 - about 3 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 | 1003096025 | NPPES |
| Georgia | MEDICAID | 359528943A | |
| Georgia | Other | 2017420 |
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