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
Phone: (334) 644-3154
Fax: (334) 644-5600
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558376178 | NPPES |
Georgia | MEDICAID | 000135671A | |
Georgia | Other | 1988802 | |
Georgia | MEDICAID | 100003681 |
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