Olde Time Pharmacy At Sixes, Llc

LBN: Olde Time Pharmacy At Sixes, Llc
Olde Time Pharmacy At Sixes, Llc is an health care organization with primary practice located at 684 Sixes Rd Suite 105, Holly Springs GA 30115-8721. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Olde Time Pharmacy At Sixes, Llc can be contacted via phone (678) 445-4486, or through Sutherland, Shad via phone (678) 445-4486.

Contact Information

Primary practice address
684 Sixes Rd Suite 105 Holly Springs GA 30115-8721
Phone: (678) 445-4486
Fax: (678) 445-3536
Website:
Map and Directions
Authorized official contact:
Name: Sutherland, Shad
Phone: (678) 445-4486

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X PHRE009711 Georgia

Profile Details

NPI number 1831476316
LBN Legal business name Olde Time Pharmacy At Sixes, Llc
DBA Doing business as
Authorized official Sutherland, Shad
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2011
Last updated Nov 10th, 2011 - about 13 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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