Bridgemill Family Pharmacy Llc

LBN: Bridgemill Family Pharmacy Llc
Bridgemill Family Pharmacy Llc is an health care organization with primary practice located at 10511 Bells Ferry Rd Ste 600, Canton GA 30114-4258. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Bridgemill Family Pharmacy Llc can be contacted via phone (770) 720-0300, or through Smith, Heather via phone (770) 720-0300.

Contact Information

Primary practice address
10511 Bells Ferry Rd Ste 600 Canton GA 30114-4258
Fax: (770) 720-0373
Website:
Authorized official contact:
Name: Smith, Heather PHARM.D.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009063 Georgia

Profile Details

NPI number 1194829143
LBN Legal business name Bridgemill Family Pharmacy Llc
DBA Doing business as Bridgemill Family Pharmacy Llc
Authorized official Smith, Heather PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Mar 16th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194829143 NPPES
Georgia MEDICAID 653407859A
Georgia Other 1154830

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