Montezuma Drug Company

LBN: Djk 36 Inc
Montezuma Drug Company is an health care organization with primary practice located at 112 S Dooly St , Montezuma GA 31063-1604. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Djk 36 Inc can be contacted via phone (478) 472-7561, or through Kiser, Daniel via phone (478) 472-7561.

Contact Information

Primary practice address
112 S Dooly St Montezuma GA 31063-1604
Phone: (478) 472-7561
Fax: (478) 472-5887
Website:
Map and Directions
Authorized official contact:
Name: Kiser, Daniel
Phone: (478) 472-7561

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE003393 Georgia

Profile Details

NPI number 1386949550
LBN Legal business name Djk 36 Inc
DBA Doing business as Montezuma Drug Company
Authorized official Kiser, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2011
Last updated May 9th, 2011 - about 13 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 1386949550 NPPES
Georgia MEDICAID 00927649A
Georgia Other 1161063

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