Organization Name: | BARNEYS PHARMACY GROVETOWN LLC |
NPI Number: | 1679861454 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARRY STEPHEN BRYANT (OWNER/PHARMACIST) |
Mailing Address: | 5135 Wrightsboro Rd Grovetown |
State: | GA US |
Postal Code: | 308132803 |
Phone Number: | 7068698535 |
Fax Number: | 7068698285 |
NPI Enumeration Date: | 07/14/2011 |
NPI Last Update Date: | 12/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 013625 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |