Max Brown Pharmacy

LBN: L M Bass Llc
Max Brown Pharmacy is an health care organization with primary practice located at 809 N Jefferson Street , Dublin GA 31021-6305. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. L M Bass Llc can be contacted via phone (478) 272-8086, or through Dennard, Blakely Sutton via phone (912) 529-4545.

Contact Information

Primary practice address
809 N Jefferson Street Dublin GA 31021-6305
Phone: (478) 272-8086
Fax: (478) 274-1171
Website:
Map and Directions
Authorized official contact:
Name: Dennard, Blakely Sutton RPH
Phone: (912) 529-4545

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1528018413
LBN Legal business name L M Bass Llc
DBA Doing business as Max Brown Pharmacy
Authorized official Dennard, Blakely Sutton RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Nov 16th, 2022 - about 2 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 1528018413 NPPES
Georgia MEDICAID 000031413A
Georgia Other 1109405

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