Custom Pharmacy, Inc

LBN: Custom Pharmacy, Inc
Custom Pharmacy, Inc is an health care organization with primary practice located at 1202 Town Park Lane Suite 200, Evans GA 30809. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Custom Pharmacy, Inc can be contacted via phone (706) 737-3955, or through Holgate, Eric Jamison via phone (706) 737-3955.

Contact Information

Primary practice address
1202 Town Park Lane Suite 200 Evans GA 30809
Phone: (706) 737-3955
Fax: (706) 737-6323
Website:
Map and Directions
Authorized official contact:
Name: Holgate, Eric Jamison RPH
Phone: (706) 737-3955

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1609298777
LBN Legal business name Custom Pharmacy, Inc
DBA Doing business as
Authorized official Holgate, Eric Jamison RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2014
Last updated Jan 9th, 2014 - about 10 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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