Olde Time Pharmacy
LBN: Olde Time Pharmacy Inc
Olde Time Pharmacy is an health care organization with primary practice located at 402 Argonne Terrace Suite 230, Holly Springs GA 30115. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Olde Time Pharmacy Inc can be contacted via phone (770) 783-0483, or through Noell, Richard via phone (770) 313-7615.
Contact Information
Primary practice address
402 Argonne Terrace Suite 230
Holly Springs GA 30115
Phone: (770) 783-0483
Fax: (770) 881-7910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE009088 | Georgia |
Profile Details
| NPI number | 1578648705 |
|---|---|
| LBN Legal business name | Olde Time Pharmacy Inc |
| DBA Doing business as | Olde Time Pharmacy |
| Authorized official | Noell, Richard RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578648705 | NPPES |
| Other | 1155084 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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