Lower Oconee Community Hospital Pharmacy
Organization Active NPI Community/Retail Pharmacy · Glenwood, GA
NPI 1063434652 · NPPES record last updated Dec 28, 2009
Key facts
- NPI
- 1063434652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHRE008539 (GA)
- Legal business name
- LOWER OCONEE COMMUNITY HOSPITAL PHARMACY
- Practice address
- 111 North Third Street
Glenwood, GA 30428 - Phone
- (912) 523-5113
- Fax
- (912) 523-5036
- NPI assigned
- Jul 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Peyton A. Smith
- Title
- Ceo
- Phone
- (912) 523-5113
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Lower Oconee Community Hospital Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHRE008539 | GA | Yes |
Addresses
Primary practice location
111 North Third Street
Glenwood, GA 30428
Mailing address
PO Box 398
111 North Third Street
Glenwood, GA 30428
Phone (912) 523-5113
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1149702 | Other | GA | NCPDP # |
Other providers in Glenwood, GA
- Mark Griffis
- GW SNF LLC
- Anthony Junco Jr.
- Lower Oconee Community Hospital Inc
- Lower Oconee Community Hospital Inc
- Lower Oconee Community Hospital, Inc
- Lower Oconee Community Hospital, Inc.
- McIntyrepharmacy LLC Dba Glenwood Pharmacy
- Orthopedic Center PC
- Robert J. Dayer, M.D., PC
All providers in Glenwood, GA · Community/Retail Pharmacy in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.