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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