Eldercare Pharmacy

LBN: Community Ancillary Services, Inc.
Eldercare Pharmacy is an health care organization with primary practice located at 342 Industrial Blvd Suite A, Hawkinsville GA 31036-2106. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Community Ancillary Services, Inc. can be contacted via phone (478) 783-1515, or through Lee, James Rusty via phone (478) 783-1515.

Contact Information

Primary practice address
342 Industrial Blvd Suite A Hawkinsville GA 31036-2106
Phone: (478) 783-1515
Fax: (478) 783-1404
Website:
Map and Directions
Authorized official contact:
Name: Lee, James Rusty RPH
Phone: (478) 783-1515

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1255323788
LBN Legal business name Community Ancillary Services, Inc.
DBA Doing business as Eldercare Pharmacy
Authorized official Lee, James Rusty RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2005
Last updated Mar 11th, 2021 - about 3 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 1255323788 NPPES
Georgia MEDICAID 00377858B
Georgia Other 1135359
Georgia MEDICAID 00377858A

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