# J.H. HARVEY CO., LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harveys Supermarket Pharmacy \#2406
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740585934
- **Authorized official:** COURTNEY FAIRBANKS (PHARMACY INSURANCE SPECIALIST)
- **Authorized official phone:** (207) 885-7454

## Contact information

- **Practice address:** 775 GA HWY 122 W, HAHIRA, GA 31632
- **Practice address phone:** (229) 794-2989
- **Practice address fax:** (229) 794-0089
- **Mailing address:** PO BOX 1000, MAILSORT 3000, 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 | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/19/2011
- **Last updated:** 08/10/2011
