Organization
HPB INC
Active
Other names
Barney's Long Term Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY BRYANT RPH (OWNER)
(706) 849-4161
Entity
Organization
Contact information
Practice address
2604 PEACH ORCHARD RD, SUITE 300, AUGUSTA, GA 30906-2406
(706) 798-5645
(706) 798-9683
Mailing address
2604 PEACH ORCHARD RD, SUITE 300, AUGUSTA, GA 30906-2406
(706) 798-5645
(706) 798-9683
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHRE009114
GA
3336L0003X
Long Term Care Pharmacy
Primary
PHRE009114
GA
3336S0011X
Specialty Pharmacy
PHRE009114
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
883420611A
—
GA
Enumeration date
04/23/2007
Last updated
09/15/2017
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