Archbold Pinetree Pharmacy

LBN: John D. Archbold Memorial Hospital, Inc.
Archbold Pinetree Pharmacy is an health care organization with primary practice located at 2705 E Pinetree Blvd , Thomasville GA 31792-4875. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. John D. Archbold Memorial Hospital, Inc. can be contacted via phone (229) 551-2365, or through King, Tara via phone (229) 228-2229.

Contact Information

Primary practice address
2705 E Pinetree Blvd Thomasville GA 31792-4875
Phone: (229) 551-2365
Fax: (229) 551-2397
Website:
Map and Directions
Authorized official contact:
Name: King, Tara
Phone: (229) 228-2229

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE007122 Georgia

Profile Details

NPI number 1467430819
LBN Legal business name John D. Archbold Memorial Hospital, Inc.
DBA Doing business as Archbold Pinetree Pharmacy
Authorized official King, Tara
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 5th, 2006
Last updated May 21st, 2024 - 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 1467430819 NPPES
Georgia MEDICAID 00420318A
Georgia Other 2020500

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