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Organization
J H HARVEY CO LLC
Active
Organization
J H HARVEY CO LLC
Active
Other names
Harveys Supermarket Pharmacy #2384
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY FAIRBANKS (PHARMACY INSURANCE SPECIALIST)
(207) 885-7454
Entity
Organization
Contact information
Practice address
2201 US HIGHWAY 41 N STE A, TIFTON, GA 31794-2754
(229) 386-9252
(229) 386-9378
Mailing address
PO BOX 1000, MS3000, PORTLAND, ME 04104-5005
(207) 885-7454
(207) 396-2028
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
08/27/2006
Last updated
03/11/2011
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