Mcdaniel Pharmacy
LBN: Mcdaniel Pharmacy
Mcdaniel Pharmacy is an health care organization with primary practice located at 195 E Dykes St , Cochran GA 31014-6514. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mcdaniel Pharmacy can be contacted via phone (478) 934-6885, or through Mcdaniel, Trenton Samuel via phone (478) 934-6885.
Contact Information
Primary practice address
195 E Dykes St
Cochran GA 31014-6514
Phone: (478) 934-6885
Fax: (478) 934-7312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PHRE006862 | Georgia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE006862 | Georgia |
Profile Details
| NPI number | 1184841637 |
|---|---|
| LBN Legal business name | Mcdaniel Pharmacy |
| DBA Doing business as | |
| Authorized official | Mcdaniel, Trenton Samuel PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Oct 20th, 2014 - about 12 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 | 1184841637 | NPPES |
| Georgia | MEDICAID | 00356496A | |
| Georgia | MEDICAID | 00356496B |
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