# J.H. HARVEY CO., LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harveys Supermarket Pharmacy \#2398
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104934579
- **Authorized official:** COURTNEY FAIRBANKS (PHARMACY INSURANCE SPECIALIST)
- **Authorized official phone:** (207) 885-7454

## Contact information

- **Practice address:** 107 PRINCE ST, AMERICUS, GA 31709-3643
- **Practice address phone:** (229) 931-6312
- **Practice address fax:** (229) 931-9359
- **Mailing address:** PO BOX 1000, MS3000, PORTLAND, ME 04104-5005
- **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 | PHRE008270 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/27/2006
- **Last updated:** 03/15/2011
