DOC HEILINBEL'S
2409 Dawson Rd
Albany, GA 31707
229-889-9203
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | ||
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies | ||
Y | 3336C0003X | Suppliers - Pharmacy | GA | PHRE009086 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 1155173 | OTHER | |
041918713A | GA | MEDICAID |