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Contact Information

SMITH'S PHARMACY
10 NORTH POPLAR ST
BUTLER, GA31006
 Phone: 478-862-5655
 Fax: 478-862-2811
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SMITH'S PHARMACY

NPI Number 1144333915
LBN Legal business name SMITH'S PHARMACY
Authorized official ROBERT BAZEMORE - (RPH/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2006
Last updated 06/26/2008 - About 18 years ago
Identifiers
GA License # PHRE004545
GA Medicaid 00793295A
GA Medicaid 00793295B
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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