Organization
BMS PHARMACY SERVICES LLC
Active
Other names
Habersham Drug
Organization subpart
No
Provider details
NPI number
Authorized official
LAIRD MILLER (OWNER)
(770) 535-8860
Entity
Organization
Contact information
Practice address
638 HISTORIC HWY 441 STE A, DEMOREST, GA 30535
(706) 754-4128
(706) 754-4928
Mailing address
PO BOX 907457, GAINESVILLE, GA 30501-0908
(770) 535-8860
(770) 532-7100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008750
GA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003128988A DME
—
GA
01
—
2128897
PK
—
05
—
990894687A
—
GA
Enumeration date
06/20/2006
Last updated
06/09/2016
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