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 Ste 105 , Holly Springs GA 30115-8720. 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.
Olde Time Pharmacy At Sixes Llc can be contacted via phone (770) 783-0483, or through Sutherland, Shad via phone (770) 783-0483.
Contact Information
Primary practice address
684 Sixes Rd Ste 105
Holly Springs GA 30115-8720
Phone: (770) 783-0483
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE009711 | Georgia |
Profile Details
| NPI number | 1912208539 |
|---|---|
| LBN Legal business name | Olde Time Pharmacy At Sixes Llc |
| DBA Doing business as | Olde Time Pharmacy At Sixes, Llc |
| Authorized official | Sutherland, Shad |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 12th, 2010 |
| Last updated | Dec 1st, 2010 - about 15 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 | 1912208539 | NPPES |
| Other | 1160643 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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