Harveys Supermarket Pharmacy #2369

LBN: J H Harvey Co. Llc
Harveys Supermarket Pharmacy #2369 is an health care organization with primary practice located at 112 S Tallahassee St , Hazlehurst GA 31539-6415. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. J H Harvey Co. Llc can be contacted via phone (912) 375-3575, or through Fairbanks, Courtney via phone (207) 885-7454.

Contact Information

Primary practice address
112 S Tallahassee St Hazlehurst GA 31539-6415
Phone: (912) 375-3575
Fax: (912) 375-3590
Website:
Map and Directions
Authorized official contact:
Name: Fairbanks, Courtney
Phone: (207) 885-7454

Health care specialties

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

Profile Details

NPI number 1518294271
LBN Legal business name J H Harvey Co. Llc
DBA Doing business as Harveys Supermarket Pharmacy #2369
Authorized official Fairbanks, Courtney
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2009
Last updated Mar 11th, 2011 - about 14 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 1518294271 NPPES
Other 1159323 NCPDP
MEDICAID 098433007A NCPDP

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