Village Walk Pharmacy

LBN: Skidaway Village Pharmacy Inc
Village Walk Pharmacy is an health care organization with primary practice located at 1 Skidaway Village Walk , Savannah GA 31411-2908. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Skidaway Village Pharmacy Inc can be contacted via phone (912) 598-8669, or through Conley, Jason Paul via phone (912) 598-8669.

Contact Information

Primary practice address
1 Skidaway Village Walk Savannah GA 31411-2908
Phone: (912) 598-8669
Fax: (912) 598-7208
Website:
Map and Directions
Authorized official contact:
Name: Conley, Jason Paul PHARMD
Phone: (912) 598-8669

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE008485 Georgia

Profile Details

NPI number 1710022207
LBN Legal business name Skidaway Village Pharmacy Inc
DBA Doing business as Village Walk Pharmacy
Authorized official Conley, Jason Paul PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 19th, 2016 - about 9 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 1710022207 NPPES
Georgia MEDICAID 000895485A
Georgia Other 1133533
Georgia Other PHRE008485

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