Pierce Family Health Mart Pharmacy
LBN: Pierce Family Pharmacy Inc
Pierce Family Health Mart Pharmacy is an health care organization with primary practice located at 3150 Us Highway 84 , Blackshear GA 31516-4944. 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.
Pierce Family Pharmacy Inc can be contacted via phone (912) 449-1400, or through Mardirossian, Zavain via phone (912) 449-1400.
Contact Information
Primary practice address
3150 Us Highway 84
Blackshear GA 31516-4944
Phone: (912) 449-1400
Fax: (912) 449-1404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE009610 | Georgia |
Profile Details
| NPI number | 1144555996 |
|---|---|
| LBN Legal business name | Pierce Family Pharmacy Inc |
| DBA Doing business as | Pierce Family Health Mart Pharmacy |
| Authorized official | Mardirossian, Zavain |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 13th, 2009 |
| Last updated | Jul 19th, 2018 - about 7 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 | 1144555996 | NPPES |
| Georgia | MEDICAID | 391060474A | |
| Georgia | Other | 2122314 |
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