Southeastern Pharmacy Llc in Brunswick - Community/retail Pharmacy

Southeastern Pharmacy Llc - NPI 1336165547

Southeastern Pharmacy Llc is a Community/retail Pharmacy in Brunswick, Georgia. Southeastern Pharmacy Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Southeastern Pharmacy Llc is 1336165547. The last update date is 2020-02-17.

Southeastern Pharmacy Llc's current location address is 5711 Altama Ave, Brunswick, Georgia. You can contact this provider via phone number 9122642622 and fax number 9122641392. The mailing address for Southeastern Pharmacy Llc is 5711 Altama Ave, Brunswick, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southeastern Pharmacy Llc
Address 5711 Altama Ave, Brunswick, Georgia
Phone Number 9122642622
Fax Number 9122641392
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Lewis Michael George
Telephone Number 9122642622

NPI Number Detail

NPI Number 1336165547
Provider Enumeration Date 2006-07-14
Last Updated Date 2020-02-17

Provider Mailing Address Detail

Address 5711 Altama Ave
City Brunswick
State Georgia (GA)
Post Code 315252240
Phone Number 9122642622
Fax Number 9122641392

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 2733
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000028256A GA --
1106930 GA NABP
1106930 GA --

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FAQs about Southeastern Pharmacy Llc

What is the unique provider identifier assigned to Southeastern Pharmacy Llc?

The Southeastern Pharmacy Llc has been issued the NPI (National Provider Identifier) 1336165547 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Southeastern Pharmacy Llc is physically located?

The Southeastern Pharmacy Llc is situated at the following address: 5711 Altama Ave, Brunswick, GA 315252240.

What is Southeastern Pharmacy Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Southeastern Pharmacy Llc's area of specialization is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0003X.

When did the Southeastern Pharmacy Llc receive its 1336165547?

The Southeastern Pharmacy Llc was issued its 1336165547 on 2006-07-14, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Southeastern Pharmacy Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Southeastern Pharmacy Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-02-17.

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