Garden Lakes Pharmacy

LBN: Garden Lakes Pharmacy
Garden Lakes Pharmacy is an health care organization with primary practice located at 2022 Redmond Cir Nw , Rome GA 30165-1322. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Garden Lakes Pharmacy can be contacted via phone (706) 378-7945, or through Henderson, Donald L via phone (706) 378-7945.

Contact Information

Primary practice address
2022 Redmond Cir Nw Rome GA 30165-1322
Fax: (706) 378-7949
Website:
Authorized official contact:
Name: Henderson, Donald L RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE008455 Georgia

Profile Details

NPI number 1750418265
LBN Legal business name Garden Lakes Pharmacy
DBA Doing business as
Authorized official Henderson, Donald L RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 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 1750418265 NPPES
Georgia MEDICAID 00886916A

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