Georgia Oxygen Pharmacy

LBN: Georgia Oxygen Pharmacy
Georgia Oxygen Pharmacy is an health care organization with primary practice located at 611 S Grant St , Fitzgerald GA 31750-3315. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy. Suppliers / Oxygen Equipment & Supplies is the primary health care specialty. Georgia Oxygen Pharmacy can be contacted via phone (229) 424-0018, or through Hill, Ed via phone (229) 423-7809.

Contact Information

Primary practice address
611 S Grant St Fitzgerald GA 31750-3315
Phone: (229) 424-0018
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hill, Ed
Phone: (229) 423-7809

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Oxygen Equipment & Supplies 332BX2000X
Suppliers / Pharmacy 333600000X PHRE008222 Georgia

Profile Details

NPI number 1114042108
LBN Legal business name Georgia Oxygen Pharmacy
DBA Doing business as
Authorized official Hill, Ed
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Mar 12th, 2008 - about 16 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 1114042108 NPPES
Georgia Other PHRE008222 PHARMACY LICENSE
Georgia MEDICAID 00838219B PHARMACY LICENSE

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