St. Mary'S Road Pharmacy

LBN: Klh Enterprises, Inc.
St. Mary'S Road Pharmacy is an health care organization with primary practice located at 111 N Oakley Dr , Columbus GA 31906-4476. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Klh Enterprises, Inc. can be contacted via phone (706) 685-1845, or through Harrell, Kenneth Lydell via phone (706) 685-1845.

Contact Information

Primary practice address
111 N Oakley Dr Columbus GA 31906-4476
Phone: (706) 685-1845
Fax: (706) 685-9066
Website:
Map and Directions
Authorized official contact:
Name: Harrell, Kenneth Lydell
Phone: (706) 685-1845

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE008778 Georgia

Profile Details

NPI number 1073679684
LBN Legal business name Klh Enterprises, Inc.
DBA Doing business as St. Mary'S Road Pharmacy
Authorized official Harrell, Kenneth Lydell
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Sep 16th, 2010 - about 15 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 1073679684 NPPES
Georgia MEDICAID 265721575A

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