Malcolms Drug Store Inc

LBN: Malcolms Drug Store Inc
Malcolms Drug Store Inc is an health care organization with primary practice located at 250 Peterson Ave S , Douglas GA 31533-5237. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Malcolms Drug Store Inc can be contacted via phone (912) 384-1898, or through Smith, Stanley via phone (912) 384-1898.

Contact Information

Primary practice address
250 Peterson Ave S Douglas GA 31533-5237
Phone: (912) 384-1898
Fax: (912) 383-7109
Website:
Map and Directions
Authorized official contact:
Name: Smith, Stanley RPH
Phone: (912) 384-1898

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE007181 Georgia

Profile Details

NPI number 1043372915
LBN Legal business name Malcolms Drug Store Inc
DBA Doing business as
Authorized official Smith, Stanley RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043372915 NPPES
Georgia MEDICAID 00031237A
Georgia Other 1109277

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