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GO PHARMACY INC

Long Term Care Pharmacy

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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Contact Information

GO PHARMACY INC
203 CHAUNCEY TOWN RD STE B
LAKE WACCAMAW, NC  28450-2003
 Phone: 910-646-6614
 Fax: 910-646-6615
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

 3336L0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

 332B00000X 54 Other Medical Supply Company
 

Institutional Pharmacy

 3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

 333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GO PHARMACY INC

NPI Number 1588827372
LBN Legal business name GO PHARMACY INC
Authorized official BRENTON BYRD - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/02/2008
Last updated 11/06/2013 - About 13 years ago
Identifiers
NC License # 11191
NC Medicaid 0245886
NC Medicaid 7705424
Other 2117971 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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