Colony Prescription Shop

LBN: Colony Prescription Shop
Colony Prescription Shop is an health care organization with primary practice located at 1230 E Mcpherson St , Nashville GA 31639-2369. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Colony Prescription Shop can be contacted via phone (229) 686-2088, or through Russ, Daniel W via phone (229) 686-2088.

Contact Information

Primary practice address
1230 E Mcpherson St Nashville GA 31639-2369
Phone: (229) 686-2088
Fax: (229) 686-2088
Website:
Map and Directions
Authorized official contact:
Name: Russ, Daniel W RPH
Phone: (229) 686-2088

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE005581 Georgia

Profile Details

NPI number 1871623975
LBN Legal business name Colony Prescription Shop
DBA Doing business as
Authorized official Russ, Daniel W RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Jun 4th, 2008 - about 17 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 1871623975 NPPES
Georgia MEDICAID 000025242A

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