BENNETT'S HOMETOWN PHARMACY LLC-FOLKSTON NPI 1972819936

NPI Information

NPI: 1972819936
Provider Name: BENNETT'S HOMETOWN PHARMACY, LLC-FOLKSTON
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 11D2234543

Address:
4402 SECOND ST N
FOLKSTON, GA
ZIP 31537
Phone: (912) 496-3784
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BENNETT'S HOMETOWN PHARMACY, LLC-FOLKSTON is a health service clinic center in Folkston, GA. BENNETT'S HOMETOWN PHARMACY, LLC-FOLKSTON NPI is 1972819936. The provider is registered as an organization entity type.

The provider's business location address is:

4402 SECOND ST N
FOLKSTON, GA
ZIP 31537-383
Phone: (912) 496-3784

The provider's authorized official is Denise Bennett .
The authorized official title is Owner/pharmacist and has the following contact phone number (912) 462-3784.

The CLIA number assigned to this NPI record is 11D2234543 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2010 and was last updated on 8/27/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	PHRE009663	GEORGIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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