National Provider Identifier Database

MIDDLE FLINT COMMUNITY BOARD
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

MIDDLE FLINT COMMUNITY BOARD
1335 N 5TH STREET EXT
CORDELE, GA31015-3753
Phone: 229-276-2367
Fax: 229-931-2474
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for MIDDLE FLINT COMMUNITY BOARD

NPI Number 1811902448
Legal business name
LBN
MIDDLE FLINT COMMUNITY BOARD
Authorized official PAM DAVIS - (EXEC DIR)
Entity Organization
Organization subpart No
Enumeration date 07/30/2006
Last updated 09/16/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: PHRE006306
  • GA Medicaid: 734807561B
  • Other: 2015417 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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