Provider Demographics
NPI:1891312344
Name:NIGHTINGALE PHARMACY INC.
Entity Type:Organization
Organization Name:NIGHTINGALE PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KAESER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-355-6472
Mailing Address - Street 1:9100 WHITE BLUFF RD STE 301
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4670
Mailing Address - Country:US
Mailing Address - Phone:912-355-6472
Mailing Address - Fax:912-691-4716
Practice Address - Street 1:9100 WHITE BLUFF RD STE 604
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4674
Practice Address - Country:US
Practice Address - Phone:912-355-6472
Practice Address - Fax:912-691-4716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-01
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy