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Contact Information

UNIVERSAL PHARM INC
298 MEDICAL COURT
OGLETHORPE, GA31068
 Phone: 478-472-2040
 Fax: 912-472-9822
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

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 UNIVERSAL PHARM INC

NPI Number 1508870155
LBN Legal business name UNIVERSAL PHARM INC
Authorized official RANDY KEENE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/28/2006
Last updated 06/16/2016 - About 10 years ago
Identifiers
GA License # PHRE006910
GA Medicaid 0036295317
Other 2015889 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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