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KLH ENTERPRISES INC. NPI 1073679684


NPI Information

NPI: 1073679684
Provider Name: KLH ENTERPRISES, INC.

Former Legal Business Name: ST. MARY'S ROAD PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
111 N OAKLEY DR
COLUMBUS, GA
ZIP 31906
Phone: (706) 685-1845
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KLH ENTERPRISES, INC. is a community/retail pharmacy pharmacy in Columbus, GA. The provider is 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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. KLH ENTERPRISES, INC. NPI is 1073679684. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is St. Mary's Road Pharmacy.

The provider's business location address is:

111 N OAKLEY DR
COLUMBUS, GA
ZIP 31906-476
Phone: (706) 685-1845
Fax: (706) 685-9066

The provider's authorized official is Kenneth Lydell Harrell .
The authorized official title is President and has the following contact phone number (706) 685-1845.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 9/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyPHRE008778GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1265721575AMEDICAIDGEORGIA
24988580001MEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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