Guardian Pharmacy Of South Georgia
LBN: Guardian Pharmacy Of Southeast Ga Llc
Guardian Pharmacy Of South Georgia is an health care organization with primary practice located at 10929 Hwy 301 South Ste 110 111, Statesboro GA 30458. 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.
Guardian Pharmacy Of Southeast Ga Llc can be contacted via phone (912) 764-7839, or through Dinello, Jodi via phone (912) 764-7839.
Contact Information
Primary practice address
10929 Hwy 301 South Ste 110 111
Statesboro GA 30458
Phone: (912) 764-7839
Fax: (912) 489-1519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | PHRE008143 | Georgia |
Profile Details
| NPI number | 1326078007 |
|---|---|
| LBN Legal business name | Guardian Pharmacy Of Southeast Ga Llc |
| DBA Doing business as | Guardian Pharmacy Of South Georgia |
| Authorized official | Dinello, Jodi |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Oct 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326078007 | NPPES |
| Other | 2013153 | PK | |
| MEDICAID | 446858035A | PK |
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