Organization
J H HARVEY CO LLC
Active
Other names
Harveys Supermarket Pharmacy #2308
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY FAIRBANKS (PHARMACY INSURANCE SPECIALIST)
(207) 885-7454
Entity
Organization
Contact information
Practice address
207 MCPHERSON ST, NASHVILLE, GA 31639
(229) 686-2025
(229) 686-3957
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00776333A
—
GA
01
—
1144738
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/27/2006
Last updated
03/11/2011
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