Bennetts Hometown Pharmacy- Blackshear Llc

LBN: Bennetts Hometown Pharmacy- Blackshear Llc
Bennetts Hometown Pharmacy- Blackshear Llc is an health care organization with primary practice located at 3150 Us Highway 84 , Blackshear GA 31516-4944. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bennetts Hometown Pharmacy- Blackshear Llc can be contacted via phone (912) 449-1400, or through Bennett, Denise via phone (912) 286-3784.

Contact Information

Primary practice address
3150 Us Highway 84 Blackshear GA 31516-4944
Fax:
Website:
Authorized official contact:
Name: Bennett, Denise

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1093280539
LBN Legal business name Bennetts Hometown Pharmacy- Blackshear Llc
DBA Doing business as
Authorized official Bennett, Denise
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2018
Last updated Oct 11th, 2018 - about 6 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 1093280539 NPPES
Georgia MEDICAID 391060474A

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