Coliseum Park Professional Pharmacy

LBN: Moodycare Inc.
Coliseum Park Professional Pharmacy is an health care organization with primary practice located at 380 Hospital Dr. Ste 175-A, Macon GA 31217. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Moodycare Inc. can be contacted via phone (478) 745-5431, or through Moody, Robert Benjamin via phone (478) 745-5431.

Contact Information

Primary practice address
380 Hospital Dr. Ste 175-A Macon GA 31217
Phone: (478) 745-5431
Fax: (478) 765-4359
Website:
Map and Directions
Authorized official contact:
Name: Moody, Robert Benjamin RPH
Phone: (478) 745-5431

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE004996 Georgia

Profile Details

NPI number 1912976630
LBN Legal business name Moodycare Inc.
DBA Doing business as Coliseum Park Professional Pharmacy
Authorized official Moody, Robert Benjamin RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 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 1912976630 NPPES
Other 1122376 NCPDP OR NABP NUMBER

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