Mcraes Pharmacy Of Douglas Inc

LBN: Mcraes Pharmacy Of Douglas Inc
Mcraes Pharmacy Of Douglas Inc is an health care organization with primary practice located at 1002 Ward St W , Douglas GA 31533-2251. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mcraes Pharmacy Of Douglas Inc can be contacted via phone (912) 384-5255, or through Holt, James Andrew via phone (912) 384-5255.

Contact Information

Primary practice address
1002 Ward St W Douglas GA 31533-2251
Fax:
Website:
Authorized official contact:
Name: Holt, James Andrew PHARM D

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH028222 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE003365 Georgia

Profile Details

NPI number 1730124587
LBN Legal business name Mcraes Pharmacy Of Douglas Inc
DBA Doing business as
Authorized official Holt, James Andrew PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Nov 12th, 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 1730124587 NPPES
Georgia MEDICAID 000031622A

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