Corley Drugs #9

LBN: Southeastern Pharmacueticals
Corley Drugs #9 is an health care organization with primary practice located at 229 Davis Road Ste 900, Lagrange GA 30241-2546. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Southeastern Pharmacueticals can be contacted via phone (706) 298-6870, or through Burton, Scott H via phone (706) 884-2517.

Contact Information

Primary practice address
229 Davis Road Ste 900 Lagrange GA 30241-2546
Phone: (706) 298-6870
Fax: (706) 298-6875
Website:
Map and Directions
Authorized official contact:
Name: Burton, Scott H RPH
Phone: (706) 884-2517

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009416 Georgia

Profile Details

NPI number 1669654687
LBN Legal business name Southeastern Pharmacueticals
DBA Doing business as Corley Drugs #9
Authorized official Burton, Scott H RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2007
Last updated Nov 20th, 2009 - about 15 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 1669654687 NPPES
Georgia MEDICAID 97933748A

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