Organization
J. H. HARVEY CO., LLC
Active
Other names
Harveys Supermarket Pharmacy #2399
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY FAIRBANKS (PHARMACY INSURANCE SPECIALIST)
(207) 885-7454
Entity
Organization
Contact information
Practice address
1000 1ST AVE NE, CAIRO, GA 39828-2276
(229) 377-3688
(229) 377-2066
Mailing address
PO BOX 1000, MS3000, PORTLAND, ME 04104-5005
(207) 885-7454
(207) 396-2028
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009136
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1155630
NCPDP
—
05
—
215205822A
—
GA
Enumeration date
04/18/2007
Last updated
03/11/2011
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