Medicap Pharmacy

LBN: Jl Burch,Llc
Medicap Pharmacy is an health care organization with primary practice located at 101 Merchants Square Dr , Cartersville GA 30121-2258. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Jl Burch,Llc can be contacted via phone (770) 386-7004, or through Burch, Jack Lee via phone (770) 386-7004.

Contact Information

Primary practice address
101 Merchants Square Dr Cartersville GA 30121-2258
Phone: (770) 386-7004
Fax: (770) 386-7523
Website:
Map and Directions
Authorized official contact:
Name: Burch, Jack Lee R.PH.
Phone: (770) 386-7004

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE008431 Georgia

Profile Details

NPI number 1437213261
LBN Legal business name Jl Burch,Llc
DBA Doing business as Medicap Pharmacy
Authorized official Burch, Jack Lee R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
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 1437213261 NPPES
Georgia MEDICAID 00878512A
Georgia Other 1147582

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