Professional Pharmacy

LBN: M D S Inc
Professional Pharmacy is an health care organization with primary practice located at 1100 Burleyson Rd , Dalton GA 30720-3016. 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. M D S Inc can be contacted via phone (706) 278-2490, or through Cook, Hewlette via phone (706) 278-2490.

Contact Information

Primary practice address
1100 Burleyson Rd Dalton GA 30720-3016
Phone: (706) 278-2490
Fax: (706) 275-6157
Website:
Map and Directions
Authorized official contact:
Name: Cook, Hewlette RPH
Phone: (706) 278-2490

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE003475 Georgia

Profile Details

NPI number 1174610364
LBN Legal business name M D S Inc
DBA Doing business as Professional Pharmacy
Authorized official Cook, Hewlette RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2006
Last updated Mar 26th, 2009 - 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 1174610364 NPPES
Other 1108770 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 00323419A NCPDP PROVIDER IDENTIFICATION NUMBER

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