Shannon Pharmacy

LBN: Shannon Pharmacy
Shannon Pharmacy is an health care organization with primary practice located at 5855 New Calhoun Hwy Ne , Rome GA 30161-8253. 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. Shannon Pharmacy can be contacted via phone (706) 295-4772, or through Ratliff, William via phone (706) 295-4772.

Contact Information

Primary practice address
5855 New Calhoun Hwy Ne Rome GA 30161-8253
Phone: (706) 295-4772
Fax: (706) 295-2866
Website:
Map and Directions
Authorized official contact:
Name: Ratliff, William RPH
Phone: (706) 295-4772

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE008861 Georgia

Profile Details

NPI number 1386748333
LBN Legal business name Shannon Pharmacy
DBA Doing business as Shannon Pharmacy
Authorized official Ratliff, William RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jun 13th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386748333 NPPES
Georgia MEDICAID 779754709A
Georgia Other 2015642

Popular Providers