Fieldale Farms Family Health Care Center & Pharmacy

LBN: Walgreen Co
Fieldale Farms Family Health Care Center & Pharmacy is an health care organization with primary practice located at 184 Professional Dr Unit B , Baldwin GA 30511-4012. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Managed Care Organization Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (866) 894-2283, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
184 Professional Dr Unit B Baldwin GA 30511-4012
Phone: (866) 894-2283
Fax: (706) 894-2717
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHRE008894 Georgia
Suppliers / Managed Care Organization Pharmacy 3336M0003X PHRE008894 Georgia

Profile Details

NPI number 1861537748
LBN Legal business name Walgreen Co
DBA Doing business as Fieldale Farms Family Health Care Center & Pharmacy
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 20th, 2007
Last updated Mar 7th, 2023 - about 2 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 1861537748 NPPES
Other 1152684 NCPDP NO.
Other PHRE008894 NCPDP NO.

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