Powell'S Bloomfield Pharmacy
LBN: Middle Moodycare Inc
Powell'S Bloomfield Pharmacy is an health care organization with primary practice located at 4839 Bloomfield Rd , Macon GA 31206-4307. 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.
Middle Moodycare Inc can be contacted via phone (478) 781-1213, or through Moody, Robert Benjamin via phone (478) 781-1213.
Contact Information
Primary practice address
4839 Bloomfield Rd
Macon GA 31206-4307
Phone: (478) 781-1213
Fax: (478) 788-9078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PHRE006040 | Georgia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE006040 | Georgia |
Profile Details
| NPI number | 1801881545 |
|---|---|
| LBN Legal business name | Middle Moodycare Inc |
| DBA Doing business as | Powell'S Bloomfield Pharmacy |
| Authorized official | Moody, Robert Benjamin R.PH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Oct 24th, 2022 - about 2 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 | 1801881545 | NPPES |
| Other | 1111828 | NCPDP | |
| Other | 000033448C | NCPDP | |
| MEDICAID | 000033448A | NCPDP |
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