Lee Goodrum Pharmacy

LBN: Lee Goodrum Pharmacy Inc
Lee Goodrum Pharmacy is an health care organization with primary practice located at 40 Hospital Rd , Newnan GA 30263-1201. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lee Goodrum Pharmacy Inc can be contacted via phone (770) 253-1121, or through Goodrum, John via phone (770) 253-1121.

Contact Information

Primary practice address
40 Hospital Rd Newnan GA 30263-1201
Phone: (770) 253-1121
Fax: (770) 253-3572
Website:
Map and Directions
Authorized official contact:
Name: Goodrum, John BS PHARMACY
Phone: (770) 253-1121

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE006304 Georgia

Profile Details

NPI number 1053332015
LBN Legal business name Lee Goodrum Pharmacy Inc
DBA Doing business as Lee Goodrum Pharmacy
Authorized official Goodrum, John BS PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Apr 25th, 2016 - about 8 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 1053332015 NPPES
Georgia MEDICAID 00285051A
Georgia Other 2014853

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