Village Drug Shop At Advantage Llc

LBN: Village Drug Shop At Advantage Llc
Village Drug Shop At Advantage Llc is an health care organization with primary practice located at 240 Mitchell Bridge Rd , Athens GA 30606-2043. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Village Drug Shop At Advantage Llc can be contacted via phone (706) 850-4955, or through Thurmond, Christopher Ryan via phone (706) 548-4444.

Contact Information

Primary practice address
240 Mitchell Bridge Rd Athens GA 30606-2043
Phone: (706) 850-4955
Fax: (706) 850-4958
Website:
Map and Directions
Authorized official contact:
Name: Thurmond, Christopher Ryan PHARMD
Phone: (706) 548-4444

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1457932956
LBN Legal business name Village Drug Shop At Advantage Llc
DBA Doing business as
Authorized official Thurmond, Christopher Ryan PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2021
Last updated Mar 7th, 2023 - about last year

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 1457932956 NPPES
Georgia Other PHRE010132 PHARMACY LICENSE
Georgia MEDICAID 003158669A PHARMACY LICENSE

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