Organization
BARNES DRUG STORES OF VALDOSTA, INC
Active
Organization
BARNES DRUG STORES OF VALDOSTA, INC
Active
Other names
Barnes Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES BARNES IV (OWNER)
(229) 245-6001
Entity
Organization
Contact information
Practice address
200 S PATTERSON ST, VALDOSTA, GA 31601-5621
(229) 245-6039
(888) 276-7881
Mailing address
PO BOX 1187, VALDOSTA, GA 31603-1187
(229) 245-6039
(888) 276-7881
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2418
GA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
2418
GA
332BX2000X
Oxygen Equipment & Supplies (DME)
2418
GA
333600000X
Pharmacy
2418
GA
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00021645A
—
GA
05
—
00021645B
—
GA
05
—
090419800
—
FL
05
—
104473700
—
FL
05
—
105405500
—
FL
05
—
105405501
—
FL
Enumeration date
11/08/2005
Last updated
05/27/2020
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