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Contact Information

LOOKOUT MOUNTAIN COMMUNITY SERVICES
1875 FANT DR
FORT OGLETHORPE, GA30742-3307
 Phone: 706-861-3387
 Fax: 706-861-3332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LOOKOUT MOUNTAIN COMMUNITY SERVICES

NPI # 1558303149
LBN Legal business name LOOKOUT MOUNTAIN COMMUNITY SERVICES
Authorized official LINDA FOX - (PHARMACY MGR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/11/2006
Last updated 07/20/2015 - About 11 years ago
Identifiers
GA License # PHRE006016
GA Medicaid 00685858A
Other 2020206 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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