Mak Pharmacy
LBN: Mak Pharmacy Llc
Mak Pharmacy is an health care organization with primary practice located at 159 E Broad St , Camilla GA 31730-1842. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mak Pharmacy Llc can be contacted via phone (229) 336-7654, or through Millsaps, Elizabeth via phone (229) 336-7654.
Contact Information
Primary practice address
159 E Broad St
Camilla GA 31730-1842
Phone: (229) 336-7654
Fax: (229) 336-5615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE009536 | Georgia |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1023263977 |
|---|---|
| LBN Legal business name | Mak Pharmacy Llc |
| DBA Doing business as | Mak Pharmacy |
| Authorized official | Millsaps, Elizabeth |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 19th, 2008 |
| Last updated | Mar 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023263977 | NPPES |
| Other | 1158167 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 027448369A | NCPDP PROVIDER IDENTIFICATION NUMBER |
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