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Contact Information

ADAIRSVILLE WORX LLC
6000 JOE FRANK HARRIS PKWY NW
SUITE F
ADAIRSVILLE, GA30103-2443
 Phone: 770-773-3521
 Fax: 770-773-9882
 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 ADAIRSVILLE WORX LLC

NPI # 1578996708
LBN Legal business name ADAIRSVILLE WORX LLC
Authorized official GREG BOHANNON - (SHAREHOLDER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/12/2013
Last updated 06/12/2020 - About 6 years ago
Identifiers
GA License # PHRE009948
GA Medicaid 003137336A
GA Medicaid 003137915A
Other 2141766 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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