Medical Park Pharmacy

LBN: W & W Smith Pharmacies Inc
Medical Park Pharmacy is an health care organization with primary practice located at 2406 Bellevue Rd , Dublin GA 31021. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. W & W Smith Pharmacies Inc can be contacted via phone (478) 272-8065, or through Smith, Wendell via phone (478) 272-8065.

Contact Information

Primary practice address
2406 Bellevue Rd Dublin GA 31021
Phone: (478) 272-8065
Fax: (478) 272-8065
Website:
Map and Directions
Authorized official contact:
Name: Smith, Wendell
Phone: (478) 272-8065

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE006120 Georgia

Profile Details

NPI number 1154428993
LBN Legal business name W & W Smith Pharmacies Inc
DBA Doing business as Medical Park Pharmacy
Authorized official Smith, Wendell
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 22nd, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154428993 NPPES
Georgia MEDICAID 00521045A
Georgia Other 1123962

Popular Providers