Camden Pharmacy Inc

LBN: Camden Pharmacy Inc
Camden Pharmacy Inc is an health care organization with primary practice located at 214 Professional Cir Ste B , Saint Marys GA 31558-3783. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Camden Pharmacy Inc can be contacted via phone (912) 673-8220, or through Kicklighter, Anthony Lee via phone (912) 673-8220.

Contact Information

Primary practice address
214 Professional Cir Ste B Saint Marys GA 31558-3783
Fax: (912) 673-7035
Website:
Authorized official contact:
Name: Kicklighter, Anthony Lee

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009019 Georgia
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1952351629
LBN Legal business name Camden Pharmacy Inc
DBA Doing business as Camden Pharmacy Inc
Authorized official Kicklighter, Anthony Lee
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Mar 31st, 2020 - about 4 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 1952351629 NPPES
Other 2016284 PK
MEDICAID 455711609A PK

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