Southern Drug Co- Darien
LBN: Little Creek Drug Llc
Southern Drug Co- Darien is an health care organization with primary practice located at 1001 North Way , Darien GA 31305. 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.
Little Creek Drug Llc can be contacted via phone (912) 437-6353, or through Harrison, Travis Ray via phone (912) 294-1684.
Contact Information
Primary practice address
1001 North Way
Darien GA 31305
Phone: (912) 437-6353
Fax: (912) 437-7621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 8398 | Georgia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 8398 | Georgia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1346263498 |
|---|---|
| LBN Legal business name | Little Creek Drug Llc |
| DBA Doing business as | Southern Drug Co- Darien |
| Authorized official | Harrison, Travis Ray PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Aug 24th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346263498 | NPPES |
| Other | 1147049 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 00862672A | OTHER ID NUMBER-COMMERCIAL NUMBER |
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