Maxwell House Pharmacy

LBN: Maxwell House Pharmacy Llc
Maxwell House Pharmacy is an health care organization with primary practice located at 1002 Greene St , Augusta GA 30901-2251. 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. Maxwell House Pharmacy Llc can be contacted via phone (706) 722-4695, or through Matthews, Keith via phone (803) 637-5757.

Contact Information

Primary practice address
1002 Greene St Augusta GA 30901-2251
Phone: (706) 722-4695
Fax: (706) 722-4696
Website:
Map and Directions
Authorized official contact:
Name: Matthews, Keith
Phone: (803) 637-5757

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE002600 Georgia

Profile Details

NPI number 1861504706
LBN Legal business name Maxwell House Pharmacy Llc
DBA Doing business as Maxwell House Pharmacy
Authorized official Matthews, Keith
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 23rd, 2011 - about 13 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 1861504706 NPPES
Other 1100053 NCPDP PROVIDER IDENTIFICATION NUMBER

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