Carrollton Pharmacy Inc

LBN: Carrollton Pharmacy Inc
Carrollton Pharmacy Inc is an health care organization with primary practice located at 105 Clinic Ave , Carrollton GA 30117-4413. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Carrollton Pharmacy Inc can be contacted via phone (770) 834-7733, or through Mccullough, Dennis via phone (770) 834-7733.

Contact Information

Primary practice address
105 Clinic Ave Carrollton GA 30117-4413
Phone: (770) 834-7733
Fax: (770) 834-7734
Website:
Map and Directions
Authorized official contact:
Name: Mccullough, Dennis
Phone: (770) 834-7733

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE008910 Georgia

Profile Details

NPI number 1750457925
LBN Legal business name Carrollton Pharmacy Inc
DBA Doing business as Carrollton Pharmacy Inc
Authorized official Mccullough, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Nov 7th, 2011 - about 14 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 1750457925 NPPES
Georgia MEDICAID 00300396A
Georgia Other 1129041

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