Lithia Springs Pharmacy
LBN: Rudy Sking Inc
Lithia Springs Pharmacy is an health care organization with primary practice located at 6935 S Sweetwater Rd , Lithia Springs GA 30122-2465. 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.
Rudy Sking Inc can be contacted via phone (770) 948-5208, or through King, Charles via phone (770) 948-5208.
Contact Information
Primary practice address
6935 S Sweetwater Rd
Lithia Springs GA 30122-2465
Phone: (770) 948-5208
Fax: (770) 948-5949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE007687 | Georgia |
Profile Details
| NPI number | 1780781294 |
|---|---|
| LBN Legal business name | Rudy Sking Inc |
| DBA Doing business as | Lithia Springs Pharmacy |
| Authorized official | King, Charles RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 19th, 2006 |
| Last updated | Feb 28th, 2013 - about 11 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 | 1780781294 | NPPES |
| Other | 1139903 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 00580643A | NCPDP PROVIDER IDENTIFICATION NUMBER |
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