Organization
DOC HEILINBEL'S
Active
Other names
DOC HEILINBEL'S
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER CLEVELAND (OWNER PHARMACIST)
(229) 889-9203
Entity
Organization
Contact information
Practice address
2409 DAWSON RD, ALBANY, GA 31707-1323
(229) 889-9203
(229) 888-8911
Mailing address
2409 DAWSON RD, ALBANY, GA 31707-1323
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009086
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041918713A
—
GA
01
—
1155173
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/01/2006
Last updated
02/11/2009
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