1902483712 NPI number — SOUTHERN PHARMACARE LLC

Table of content: (NPI 1902483712)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902483712 NPI number — SOUTHERN PHARMACARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTHERN PHARMACARE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902483712
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/12/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
711 LAMBERT BENNETT RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JESUP
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31546-1550
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
912-705-7790
Provider Business Mailing Address Fax Number:
912-559-2597

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
755 S MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAXLEY
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31513-0130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-294-1684
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HARRISON
Authorized Official First Name:
TRAVIS
Authorized Official Middle Name:
RAY
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
912-705-7790

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)