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Contact Information

WINN-DIXIE PHARMACY #482
1100 HUNT AVENUE
COLUMBUS, GA31907
 Phone: 706-562-8330
 Fax:
 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 WINN-DIXIE PHARMACY #482

NPI Number 1548337686
LBN Legal business name WINN-DIXIE PHARMACY #482
Authorized official DAVID NANCE - (PHARMACIST IN CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
GA License # PHRE007773
GA Other 044611 BUSINESS LICENSE
GA Other 007773 CERTIFICATE OF OCCUPANCY
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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