Great Oaks Pharmacy Llc

LBN: Great Oaks Pharmacy Llc
Great Oaks Pharmacy Llc is an health care organization with primary practice located at 920 Highway 138 Nw , Monroe GA 30655-7702. 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. Great Oaks Pharmacy Llc can be contacted via phone (770) 266-0278, or through Dally, Melinda via phone (770) 207-3406.

Contact Information

Primary practice address
920 Highway 138 Nw Monroe GA 30655-7702
Phone: (770) 266-0278
Fax: (770) 207-9056
Website:
Map and Directions
Authorized official contact:
Name: Dally, Melinda
Phone: (770) 207-3406

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE009001 Georgia

Profile Details

NPI number 1457397846
LBN Legal business name Great Oaks Pharmacy Llc
DBA Doing business as Great Oaks Pharmacy Llc
Authorized official Dally, Melinda
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 5th, 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 1457397846 NPPES
Other 2016245 PK

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