Parish Pharmacy
LBN: Southern Pain Institute P C
Parish Pharmacy is an health care organization with primary practice located at 1975 Highway 54 W Ste 100 , Fayetteville GA 30214-4794. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Southern Pain Institute P C can be contacted via phone (770) 631-5158, or through Clavo, Lynn via phone (770) 313-3380.
Contact Information
Primary practice address
1975 Highway 54 W Ste 100
Fayetteville GA 30214-4794
Phone: (770) 631-5158
Fax: (770) 632-3731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE009784 | Georgia |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1750665584 |
|---|---|
| LBN Legal business name | Southern Pain Institute P C |
| DBA Doing business as | Parish Pharmacy |
| Authorized official | Clavo, Lynn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2011 |
| Last updated | Mar 20th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750665584 | NPPES |
| Other | 1161784 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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