Royal Pharmacy

LBN: Royal Pharmacy
Royal Pharmacy is an health care organization with primary practice located at 1620 John Orr Dr , Tifton GA 31794-3641. 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. Royal Pharmacy can be contacted via phone (229) 382-0480, or through Royal, Daniel via phone (229) 382-0480.

Contact Information

Primary practice address
1620 John Orr Dr Tifton GA 31794-3641
Fax: (229) 388-8258
Website:
Authorized official contact:
Name: Royal, Daniel

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE002991 Georgia

Profile Details

NPI number 1548471055
LBN Legal business name Royal Pharmacy
DBA Doing business as Royal Pharmacy
Authorized official Royal, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2007
Last updated Jun 18th, 2012 - about 12 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 1548471055 NPPES
Georgia MEDICAID 00035329A
Georgia Other 1114951

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