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Contact Information

GARDI DRUG COMPANY, LLC
731 CAMERON DR.
BLACKSHEAR, GA31516
 Phone: 912-449-4444
 Fax: 912-449-8735
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GARDI DRUG COMPANY, LLC

NPI Number 1518936442
LBN Legal business name GARDI DRUG COMPANY, LLC
Authorized official TRAVIS HARRISON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
GA License # PHR 004024
GA Medicaid 000038398A
GA Medicaid 00003898A
GA Other 1121653 NCPDP / NABP
GA Other RPH009806 PHARMACIST LICENSE
GA Other PHR004024 PHARMACY STATE LICENSE
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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