Medical Center Pharmacy

LBN: Bakco Enterprises,Inc
Medical Center Pharmacy is an health care organization with primary practice located at 3121 Peach Orchard Rd , Augusta GA 30906-3521. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Bakco Enterprises,Inc can be contacted via phone (706) 792-5130, or through Pulliam, Kyle via phone (706) 854-2424.

Contact Information

Primary practice address
3121 Peach Orchard Rd Augusta GA 30906-3521
Phone: (706) 792-5130
Fax: (706) 792-5132
Website:
Map and Directions
Authorized official contact:
Name: Pulliam, Kyle
Phone: (706) 854-2424

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1447349998
LBN Legal business name Bakco Enterprises,Inc
DBA Doing business as Medical Center Pharmacy
Authorized official Pulliam, Kyle
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Nov 17th, 2009 - about 15 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 1447349998 NPPES
Georgia MEDICAID 00030643A

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