Greene Super Drug

LBN: Charles R Spivey, Inc.
Greene Super Drug is an health care organization with primary practice located at 701 N Gilmer Ave , Lanett AL 36863-2081. 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. Charles R Spivey, Inc. can be contacted via phone (334) 644-3154, or through Spivey, Charles Ray via phone (334) 644-3154.

Contact Information

Primary practice address
701 N Gilmer Ave Lanett AL 36863-2081
Fax: (334) 644-5600
Website:
Authorized official contact:
Name: Spivey, Charles Ray R.PH.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 104710 Alabama
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1558376178
LBN Legal business name Charles R Spivey, Inc.
DBA Doing business as Greene Super Drug
Authorized official Spivey, Charles Ray R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Dec 26th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558376178 NPPES
Georgia MEDICAID 000135671A
Georgia Other 1988802
Georgia MEDICAID 100003681

Popular Providers