Vital Care Of Southwest Georgia, Donalsonville

LBN: Roberts Pharmacy Inc
Vital Care Of Southwest Georgia, Donalsonville is an health care organization with primary practice located at 803 N Wiley Ave , Donalsonville GA 39845-1121. The organization recently has 8 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, 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. Roberts Pharmacy Inc can be contacted via phone (229) 524-2313, or through Mills, Jack H via phone (229) 524-2313.

Contact Information

Primary practice address
803 N Wiley Ave Donalsonville GA 39845-1121
Phone: (229) 524-2313
Fax: (229) 524-1202
Website:
Map and Directions
Authorized official contact:
Name: Mills, Jack H
Phone: (229) 524-2313

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHRE004506 Georgia
Suppliers / Parenteral & Enteral Nutrition 332BP3500X PHRE004506 Georgia
Suppliers / Pharmacy 333600000X PHRE004506 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE004506 Georgia
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PHRE004506 Georgia
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE004506 Georgia
Suppliers / Mail Order Pharmacy 3336M0002X PHRE004506 Georgia
Suppliers / Specialty Pharmacy 3336S0011X PHRE004506 Georgia

Profile Details

NPI number 1710902531
LBN Legal business name Roberts Pharmacy Inc
DBA Doing business as Vital Care Of Southwest Georgia, Donalsonville
Authorized official Mills, Jack H
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Dec 23rd, 2011 - about 13 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 1710902531 NPPES
Georgia MEDICAID 00035153B
Georgia Other 277634

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