Medical Center Pharmacy

LBN: Hospital Authority Of Valdosta And Lowndes County Georgia
Medical Center Pharmacy is an health care organization with primary practice located at 2501 N Patterson St , Valdosta GA 31602-1735. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Hospital Authority Of Valdosta And Lowndes County Georgia can be contacted via phone (229) 249-4144, or through Bethea, Kenneth Alan via phone (229) 249-4144.

Contact Information

Primary practice address
2501 N Patterson St Valdosta GA 31602-1735
Phone: (229) 249-4144
Fax: (229) 249-4145
Website:
Map and Directions
Authorized official contact:
Name: Bethea, Kenneth Alan R.PH.
Phone: (229) 249-4144

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 008065 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1528049046
LBN Legal business name Hospital Authority Of Valdosta And Lowndes County Georgia
DBA Doing business as Medical Center Pharmacy
Authorized official Bethea, Kenneth Alan R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2005
Last updated Mar 7th, 2023 - about last year

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 1528049046 NPPES
Georgia MEDICAID 003225227A
Georgia Other 1143510
Georgia Other 008065

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