Organization Name: | BENNETT'S HOMETOWN PHARMACY, LLC |
NPI Number: | 1902963648 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENISE B BENNETT (OWNER) |
Mailing Address: | 13202 Cleveland St W Ste 100 Nahunta |
State: | GA US |
Postal Code: | 315532842 |
Phone Number: | 9124623784 |
Fax Number: | 9124628040 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 05/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |