The Medicine Shoppe Pharmacy #1774

LBN: G. Wilson Enterprise,Inc.
The Medicine Shoppe Pharmacy #1774 is an health care organization with primary practice located at 2416 Windsor Spring Rd , Augusta GA 30906-4666. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. G. Wilson Enterprise,Inc. can be contacted via phone (706) 772-7155, or through Wilson, Griselda via phone (706) 772-7155.

Contact Information

Primary practice address
2416 Windsor Spring Rd Augusta GA 30906-4666
Phone: (706) 772-7155
Fax: (706) 772-7149
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Griselda PHARMD
Phone: (706) 772-7155

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH018959 Georgia

Profile Details

NPI number 1689715930
LBN Legal business name G. Wilson Enterprise,Inc.
DBA Doing business as The Medicine Shoppe Pharmacy #1774
Authorized official Wilson, Griselda PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1689715930 NPPES
Georgia MEDICAID 00921566A
Georgia Other 1407801566
Georgia MEDICAID 7G8531

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