Family Medicine Pharmacy

LBN: Family Medicine Pharmacy Llc
Family Medicine Pharmacy is an health care organization with primary practice located at 470 Safford Ave W , Thomasville AL 36784-3112. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Family Medicine Pharmacy Llc can be contacted via phone (334) 636-9809, or through Wise, Gary via phone (334) 636-9809.

Contact Information

Primary practice address
470 Safford Ave W Thomasville AL 36784-3112
Phone: (334) 636-9809
Fax: (334) 636-9807
Website:
Map and Directions
Authorized official contact:
Name: Wise, Gary BS
Phone: (334) 636-9809

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 103869 Alabama

Profile Details

NPI number 1093829061
LBN Legal business name Family Medicine Pharmacy Llc
DBA Doing business as Family Medicine Pharmacy
Authorized official Wise, Gary BS
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 19th, 2018 - about 6 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 1093829061 NPPES
Other 1991227 PK
MEDICAID 124922 PK

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