Dennards Ltc

LBN: Dennard Inc
Dennards Ltc is an health care organization with primary practice located at 804 Second St , Soperton GA 30457-2402. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Dennard Inc can be contacted via phone (912) 529-2021, or through Dennard, Blake via phone (912) 529-2021.

Contact Information

Primary practice address
804 Second St Soperton GA 30457-2402
Phone: (912) 529-2021
Fax: (912) 529-2031
Website:
Map and Directions
Authorized official contact:
Name: Dennard, Blake
Phone: (912) 529-2021

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE009683 Georgia

Profile Details

NPI number 1164730669
LBN Legal business name Dennard Inc
DBA Doing business as Dennards Ltc
Authorized official Dennard, Blake
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2010
Last updated Sep 2nd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164730669 NPPES
Georgia MEDICAID 003100424A
Georgia Other 2126572

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