Organization
SHUMAN HEALTHCARE SPECIALTY PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY M SHUMAN RPH (OWNER/CEO)
(912) 285-1619
Entity
Organization
Contact information
Practice address
2011 TEBEAU ST, WAYCROSS, GA 31501-6358
(912) 285-1619
(912) 285-4470
Mailing address
2011 TEBEAU ST, WAYCROSS, GA 31501-6358
(912) 285-1619
(912) 285-4470
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000479971A
—
GA
05
—
000479971B
—
GA
Enumeration date
08/17/2005
Last updated
09/02/2009
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