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Contact Information

GEORGIANA PHARMACY, LLC
236 JONES STREET
GEORGIANA, AL36033
 Phone: 334-376-9800
 Fax: 334-376-9807
 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 GEORGIANA PHARMACY, LLC

NPI # 1699084962
LBN Legal business name GEORGIANA PHARMACY, LLC
Authorized official BRETT SPEEGLE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2010
Last updated 10/04/2010 - About 16 years ago
Identifiers
AL License # 113446
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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