Woodward'S Express Care Pharmacy
LBN: Ccc Medical Inc
Woodward'S Express Care Pharmacy is an health care organization with primary practice located at 2280 Salem Rd Se Suite 103, Conyers GA 30013-2003. 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.
Ccc Medical Inc can be contacted via phone (770) 483-6811, or through Woodward, Heyward via phone (770) 483-6811.
Contact Information
Primary practice address
2280 Salem Rd Se Suite 103
Conyers GA 30013-2003
Phone: (770) 483-6811
Fax: (770) 483-1776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 005339 | Georgia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1912091323 |
|---|---|
| LBN Legal business name | Ccc Medical Inc |
| DBA Doing business as | Woodward'S Express Care Pharmacy |
| Authorized official | Woodward, Heyward R.PH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1912091323 | NPPES |
| Georgia | MEDICAID | 00112516B | |
| Georgia | Other | 1108338 | |
| Georgia | MEDICAID | 00112516A |
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