Provider Demographics
NPI:1487006961
Name:LO COST HEALTHCARE, LLC
Entity Type:Organization
Organization Name:LO COST HEALTHCARE, LLC
Other - Org Name:LO COST PHARMACY LTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VISHAL
Authorized Official - Middle Name:D
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:912-352-0375
Mailing Address - Street 1:612 E 69TH ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4714
Mailing Address - Country:US
Mailing Address - Phone:912-352-0375
Mailing Address - Fax:912-356-9609
Practice Address - Street 1:612 E 69TH ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4714
Practice Address - Country:US
Practice Address - Phone:912-352-0375
Practice Address - Fax:912-356-9609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-07
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE0103053336L0003X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPHRE011051OtherPHARMACY LICENSE
GAPHRE010305OtherPHARMACY LICENSE