Seminole Hartzog Pharmacy

LBN: Scott And Mary Hartzog, Llc
Seminole Hartzog Pharmacy is an health care organization with primary practice located at 111 E 2Nd St , Donalsonville GA 39845-1601. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Scott And Mary Hartzog, Llc can be contacted via phone (229) 524-5364, or through Hartzog, Scott via phone (229) 524-2223.

Contact Information

Primary practice address
111 E 2Nd St Donalsonville GA 39845-1601
Phone: (229) 524-5364
Fax: (229) 524-8798
Website:
Map and Directions
Authorized official contact:
Name: Hartzog, Scott RPH
Phone: (229) 524-2223

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009128 Georgia

Profile Details

NPI number 1982733267
LBN Legal business name Scott And Mary Hartzog, Llc
DBA Doing business as Seminole Hartzog Pharmacy
Authorized official Hartzog, Scott RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Sep 24th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982733267 NPPES
Georgia MEDICAID 000035681A
Georgia MEDICAID 818850627B
Georgia Other 1109227

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