Walton Drug Co Inc
LBN: Walton Drug Co Inc
Walton Drug Co Inc is an health care organization with primary practice located at 150 Mkl Jr Blvd Suite A, Monroe GA 30655. The organization recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Walton Drug Co Inc can be contacted via phone (770) 267-2559, or through Hickman, Wanda via phone (770) 267-2559.
Contact Information
Primary practice address
150 Mkl Jr Blvd Suite A
Monroe GA 30655
Phone: (770) 267-2559
Fax: (770) 267-6138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Diabetes Educator | 163WD0400X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE004488 | Georgia |
Profile Details
| NPI number | 1932217866 |
|---|---|
| LBN Legal business name | Walton Drug Co Inc |
| DBA Doing business as | |
| Authorized official | Hickman, Wanda |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Aug 2nd, 2019 - about 5 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 | 1932217866 | NPPES |
| Georgia | MEDICAID | 00329667A | |
| Georgia | Other | 2012680 |
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