Vidalia Pharmacy Inc
LBN: Vidalia Pharmacy Inc
Vidalia Pharmacy Inc is an health care organization with primary practice located at 209 Jackson St , Vidalia GA 30474-4713. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Vidalia Pharmacy Inc can be contacted via phone (912) 537-4134, or through Bedingfield, Walter via phone (912) 537-4134.
Contact Information
Primary practice address
209 Jackson St
Vidalia GA 30474-4713
Phone: (912) 537-4134
Fax: (912) 537-4169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 005032 | Georgia |
| Suppliers / Institutional Pharmacy | 3336I0012X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Managed Care Organization Pharmacy | 3336M0003X |
Profile Details
| NPI number | 1114969342 |
|---|---|
| LBN Legal business name | Vidalia Pharmacy Inc |
| DBA Doing business as | Vidalia Pharmacy Inc |
| Authorized official | Bedingfield, Walter |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Nov 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114969342 | NPPES |
| Other | 2012881 | PK | |
| MEDICAID | 0037749A | PK |
Popular Providers
-
Georgia Cvs Pharmacy Llc
1201 East First St , Vidalia GA 30474-5500 -
Express Care Pharmacy Inc.
801 E Broadway Unit A, Glendale CA 91205-4528 -
Wal-Mart Stores East Lp
3109 E 1St St , Vidalia GA 30474-8830 -
La Quinta Pharmacy
78150 Calle Tampico Ste 103, La Quinta CA 92253-2907 -
Bioscrip Pharmacy, Inc.
8490 Santa Monica Blvd Ste 1, West Hollywood CA 90069-4261 -
Princeton Drug
105 Broyles Dr , Johnson City TN 37601-2542 -
Buysmart Rx-Hme Inc
805 E 1St St , Vidalia GA 30474-4202 -
Bioscrip Pharmacy, Inc.
4940 Van Nuys Blvd Ste 104, Sherman Oaks CA 91403-1700