WB DRUGS INC. NPI 1922033075

NPI Information

NPI: 1922033075
Provider Name: WB DRUGS, INC.

Doing Business As: BROCK'S VITAL CARE

Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
1205 E SHOTWELL ST
BAINBRIDGE, GA
ZIP 39819
Phone: (229) 246-1000
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WB DRUGS, INC. is a parenteral and enteral nutrition durable medical equipment medical supplies in Bainbridge, GA. WB DRUGS, INC. NPI is 1922033075. The provider is registered as an organization entity type.
The provider Is Doing Business As Brock's Vital Care.

The provider's business location address is:

1205 E SHOTWELL ST
BAINBRIDGE, GA
ZIP 39819-237
Phone: (229) 246-1000
Fax: (229) 246-5643

The provider's authorized official is Winston Brock .
The authorized official title is President and has the following contact phone number (229) 246-1000.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 12/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	PHRE006828	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00395392A	MEDICAID	GEORGIA
2	00395392B	MEDICAID	GEORGIA
3	0243542-001	OTHER	GEORGIA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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