Pruitthealth Pharmacy Services - Valdosta, Inc.
LBN: Pruitthealth Pharmacy Services - Valdosta, Inc.
Pruitthealth Pharmacy Services - Valdosta, Inc. is an health care organization with primary practice located at 1711 River St , Valdosta GA 31601-5163. The organization recently has 2 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Pruitthealth Pharmacy Services - Valdosta, Inc. can be contacted via phone (229) 244-8868, or through Pruitt, Neil L via phone (770) 279-6200.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Clinical Medical Laboratory | 291U00000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1609823061 |
|---|---|
| LBN Legal business name | Pruitthealth Pharmacy Services - Valdosta, Inc. |
| DBA Doing business as | |
| Authorized official | Pruitt, Neil L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Jun 3rd, 2021 - about 3 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 | 1609823061 | NPPES |
| Georgia | MEDICAID | 00344044A |
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