NURSING HOME PHARMACY LLC
Medical Equipment Supplier Yellow Pages
Monroe, Georgia
Provider NPI: 1780680652
Organization Information:Organization Name: NURSING HOME PHARMACY LLC
Practice Location:
1865 BOLD SPRINGS RD NW MONROE, GA 30656 US
Tel: 770-267-8677 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1865 BOLD SPRINGS RD NW MONROE, GA 30656 US
Tel: 770-267-8677 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers Pharmacy | ||
Y | 3336L0003X | Suppliers Pharmacy | GA | PHRE004071 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2012681 | 01 | |
00002164 | GA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin