Provider Demographics
NPI:1992226427
Name:CARVER DRUG COMPANY LLC
Entity type:Organization
Organization Name:CARVER DRUG COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DME SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-632-7455
Mailing Address - Street 1:135 BYPASS GA HWY 32
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:GA
Mailing Address - Zip Code:31510-1928
Mailing Address - Country:US
Mailing Address - Phone:912-632-7455
Mailing Address - Fax:
Practice Address - Street 1:135 BYPASS GA HWY 32
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:GA
Practice Address - Zip Code:31510-1928
Practice Address - Country:US
Practice Address - Phone:912-632-7455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-06
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
GA20170006873336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies