Blakely Pharmacy Llc in Blakely - Pharmacy
Blakely Pharmacy Llc - NPI 1629132113
Blakely Pharmacy Llc is a Pharmacy in Blakely, Georgia. Blakely Pharmacy Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Blakely Pharmacy Llc is 1629132113. The last update date is 2016-12-07.
Blakely Pharmacy Llc's current location address is 90 Court Sq, Blakely, Georgia. You can contact this provider via phone number 2297233441 and fax number 2297238707. The mailing address for Blakely Pharmacy Llc is 90 Court Sq, Blakely, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blakely Pharmacy Llc |
|---|---|
| Address | 90 Court Sq, Blakely, Georgia |
| Phone Number | 2297233441 |
| Fax Number | 2297238707 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PIC |
|---|---|
| Authorized Official Name | Bruner Leigh |
| Telephone Number | 2297233441 |
NPI Number Detail
| NPI Number | 1629132113 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2016-12-07 |
Provider Mailing Address Detail
| Address | 90 Court Sq |
|---|---|
| City | Blakely |
| State | Georgia (GA) |
| Post Code | 398232340 |
| Phone Number | 2297233441 |
| Fax Number | 2297238707 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | PHRE010001 |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2146842 | PK | ||
| 000028784A | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Blakely Pharmacy Llc?
The Blakely Pharmacy Llc has been issued the NPI (National Provider Identifier) 1629132113 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Blakely Pharmacy Llc is geographically located?
The Blakely Pharmacy Llc is physically situated at the following location: 90 Court Sq, Blakely, GA, 398232340.
What is Blakely Pharmacy Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Blakely Pharmacy Llc is Pharmacy, and the taxonomy code that classifies this field of practice is 333600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629132113 to Blakely Pharmacy Llc?
The Centers for Medicare & Medicaid Services originally issued the 1629132113 to Blakely Pharmacy Llc on 2006-12-20.
As of what date were the Blakely Pharmacy Llc's details last updated?
The information pertaining to the Blakely Pharmacy Llc, including its address, specialty, and other details, was most recently updated on 2016-12-07.
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