NPI Database
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Contact Information

BENNETT'S HOMETOWN PHARMACY - WAYNESVILLE, LLC
26826 HWY 82
WAYNESVILLE, GA31566
 Phone: 912-778-3784
 Fax:
 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
Indicates primary specialty

NPI Profile & details for BENNETT'S HOMETOWN PHARMACY - WAYNESVILLE, LLC

NPI # 1598969271
LBN Legal business name BENNETT'S HOMETOWN PHARMACY - WAYNESVILLE, LLC
Authorized official DENISE BENNETT - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2007
Last updated 07/06/2015 - About 11 years ago
Identifiers
GA License # PHRE009147
GA Medicaid 735642371C
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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