The Drug Store

LBN: His Care Llc
The Drug Store is an health care organization with primary practice located at 305 E Long St , Claxton GA 30417-1411. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. His Care Llc can be contacted via phone (912) 739-9393, or through Hethcox, Anthony via phone (912) 739-9393.

Contact Information

Primary practice address
305 E Long St Claxton GA 30417-1411
Fax: (912) 739-9033
Website:
Authorized official contact:
Name: Hethcox, Anthony RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE008624 Georgia
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1811097587
LBN Legal business name His Care Llc
DBA Doing business as The Drug Store
Authorized official Hethcox, Anthony RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2006
Last updated Sep 22nd, 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 1811097587 NPPES
Other 2014598 PK
MEDICAID 944541867B PK
MEDICAID 944541867A PK

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