# J.H. HARVEY CO., LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harveys Supemarket Pharmacy \#2332
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003849704
- **Authorized official:** COURTNEY FAIRBANKS (PHARMACY INSURANCE SPECIALIST)
- **Authorized official phone:** (207) 885-7454

## Contact information

- **Practice address:** 220 W CENTRAL AVE, FITZGERALD, GA 31750
- **Practice address phone:** (229) 423-0521
- **Practice address fax:** (229) 423-7147
- **Mailing address:** PO BOX 1000, MS 3000, PORTLAND, ME 04104
- **Mailing address phone:** (207) 885-7454
- **Mailing address fax:** (207) 396-2028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PHRE009037 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE009037 | GA | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 03/15/2011