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Contact Information

LONGS DRUGS OF SANDERSVILLE GEORGIA INC
2140 PEACHTREE RD NW
SUITE 232
ATLANTA, GA30309-1316
 Phone: 404-231-4431
 Fax: 404-231-5677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LONGS DRUGS OF SANDERSVILLE GEORGIA INC

NPI Number 1053357509
LBN Legal business name LONGS DRUGS OF SANDERSVILLE GEORGIA INC
Authorized official CARL COLQUITT - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/22/2006
Last updated 09/12/2025 - About 9 months ago
Identifiers
GA License # PHRE009702
GA Medicaid 003291812A
Other 1148279 NCPDP PROVIDER IDENTIFICATION NUMBER
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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