Frederica Pharmacy

LBN: Frederica Pharmacy Inc.
Frederica Pharmacy is an health care organization with primary practice located at 3603 Frederica Rd , Saint Simons Island GA 31522-1334. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Frederica Pharmacy Inc. can be contacted via phone (912) 357-2357, or through Luce, Melissa F via phone (912) 357-2357.

Contact Information

Primary practice address
3603 Frederica Rd Saint Simons Island GA 31522-1334
Phone: (912) 357-2357
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Luce, Melissa F PHARMD
Phone: (912) 357-2357

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1720741564
LBN Legal business name Frederica Pharmacy Inc.
DBA Doing business as Frederica Pharmacy
Authorized official Luce, Melissa F PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2021
Last updated Apr 29th, 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 1720741564 NPPES
Georgia MEDICAID 003263426A

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