Reagan'S Vital Care

LBN: Reagan'S Pharmacy Inc.
Reagan'S Vital Care is an health care organization with primary practice located at 1340 Klondike Rd Sw , Conyers GA 30094-5102. The organization recently has 10 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Reagan'S Pharmacy Inc. can be contacted via phone (770) 483-4727, or through Reagan, Jeff B. via phone (770) 483-4727.

Contact Information

Primary practice address
1340 Klondike Rd Sw Conyers GA 30094-5102
Phone: (770) 483-4727
Fax: (770) 278-0003
Website:
Map and Directions
Authorized official contact:
Name: Reagan, Jeff B.
Phone: (770) 483-4727

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHRE007176 Georgia
Suppliers / Customized Equipment 332BC3200X PHRE007176 Georgia
Suppliers / Parenteral & Enteral Nutrition 332BP3500X PHRE007176 Georgia
Suppliers / Oxygen Equipment & Supplies 332BX2000X PHRE007176 Georgia
Suppliers / Pharmacy 333600000X PHRE007176 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE007176 Georgia
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PHRE007176 Georgia
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE007176 Georgia
Suppliers / Mail Order Pharmacy 3336M0002X PHRE007176 Georgia
Suppliers / Specialty Pharmacy 3336S0011X PHRE007176 Georgia

Profile Details

NPI number 1245399161
LBN Legal business name Reagan'S Pharmacy Inc.
DBA Doing business as Reagan'S Vital Care
Authorized official Reagan, Jeff B.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245399161 NPPES
Georgia Other 277631 BCBS
Georgia MEDICAID 00033899B BCBS
Georgia Other 1103249 BCBS

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