Organization
HARBIN CLINIC, LLC
Active
Other names
Harbin Clinic Infusions
Organization subpart
No
Provider details
NPI number
Authorized official
KENNA STOCK (CEO)
(762) 235-1165
Entity
Organization
Contact information
Practice address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 235-2273
(706) 378-8139
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHRE007186
GA
333600000X
Pharmacy
PHRE007186
GA
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHRE007186
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000431076C
—
GA
05
—
000431076D
—
GA
01
—
1137620
NCPDP #
—
Enumeration date
02/22/2007
Last updated
04/02/2026
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