Baze Specialty Pharmacy
LBN: Baze Pharmacy Llc
Baze Specialty Pharmacy is an health care organization with primary practice located at 1526 E Forrest Ave Ste 102 , East Point GA 30344-6979. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Baze Pharmacy Llc can be contacted via phone (404) 761-4448, or through Eze, Athelia via phone (662) 323-5033.
Contact Information
Primary practice address
1526 E Forrest Ave Ste 102
East Point GA 30344-6979
Phone: (404) 761-4448
Fax: (404) 761-7905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE010285 | Georgia |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | PHRE010285 | Georgia |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1689029951 |
|---|---|
| LBN Legal business name | Baze Pharmacy Llc |
| DBA Doing business as | Baze Specialty Pharmacy |
| Authorized official | Eze, Athelia |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2016 |
| Last updated | Mar 29th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689029951 | NPPES |
| Georgia | MEDICAID | 003177187A | |
| Georgia | Other | 2158297 | |
| Georgia | MEDICAID | 003175529A |
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