Eagle Pharmacy

LBN: Eagle Pharmacy,Inc
Eagle Pharmacy is an health care organization with primary practice located at 936 E Winthrope Ave , Millen GA 30442-1840. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Eagle Pharmacy,Inc can be contacted via phone (478) 982-7979, or through Delay, Kenneth via phone (478) 982-7979.

Contact Information

Primary practice address
936 E Winthrope Ave Millen GA 30442-1840
Phone: (478) 982-7979
Fax: (478) 982-1010
Website:
Map and Directions
Authorized official contact:
Name: Delay, Kenneth RPH
Phone: (478) 982-7979

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE008924 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1972539443
LBN Legal business name Eagle Pharmacy,Inc
DBA Doing business as Eagle Pharmacy
Authorized official Delay, Kenneth RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Jan 15th, 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 1972539443 NPPES
Other 1153206 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 815061467A OTHER ID NUMBER-COMMERCIAL NUMBER

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