Magnolia Manor Pharmacy

LBN: Georgia Pharmacy Ventures Llc
Magnolia Manor Pharmacy is an health care organization with primary practice located at 342 Industrial Blvd Ste C, Hawkinsville GA 31036-2103. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Georgia Pharmacy Ventures Llc can be contacted via phone (478) 783-4262, or through Lee, James via phone (478) 783-4262.

Contact Information

Primary practice address
342 Industrial Blvd Ste C Hawkinsville GA 31036-2103
Phone: (478) 783-4262
Fax: (478) 783-8970
Website:
Map and Directions
Authorized official contact:
Name: Lee, James RPH
Phone: (478) 783-4262

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE009471 Georgia

Profile Details

NPI number 1497927321
LBN Legal business name Georgia Pharmacy Ventures Llc
DBA Doing business as Magnolia Manor Pharmacy
Authorized official Lee, James RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2008
Last updated Sep 28th, 2016 - about 8 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 1497927321 NPPES
Other 2017405 PK

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