Southern Pharmacy

LBN: Sgbs Holdings Llc
Southern Pharmacy is an health care organization with primary practice located at 606 Brannen St Ste B , Statesboro GA 30458-5184. 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. Sgbs Holdings Llc can be contacted via phone (912) 225-9279, or through Girardeau, Stacey via phone (912) 839-5456.

Contact Information

Primary practice address
606 Brannen St Ste B Statesboro GA 30458-5184
Phone: (912) 225-9279
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Girardeau, Stacey
Phone: (912) 839-5456

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009817 Georgia

Profile Details

NPI number 1083987457
LBN Legal business name Sgbs Holdings Llc
DBA Doing business as Southern Pharmacy
Authorized official Girardeau, Stacey
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2012
Last updated Mar 27th, 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 1083987457 NPPES
Other 1162116 NCPDP PROVIDER IDENTIFICATION NUMBER

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