Medicap Pharmacy

LBN: Medicap Pharmacy
Medicap Pharmacy is an health care organization with primary practice located at 824 Hull Rd Ste B , Athens GA 30601-1534. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Medicap Pharmacy can be contacted via phone (706) 369-5822, or through Goss, Keith via phone (706) 369-5822.

Contact Information

Primary practice address
824 Hull Rd Ste B Athens GA 30601-1534
Phone: (706) 369-5822
Fax: (706) 369-5825
Website:
Map and Directions
Authorized official contact:
Name: Goss, Keith
Phone: (706) 369-5822

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE009005 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1477564979
LBN Legal business name Medicap Pharmacy
DBA Doing business as
Authorized official Goss, Keith
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 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 1477564979 NPPES
Other 1153965 OTHER ID NUMBER-COMMERCIAL NUMBER

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