Eldercare Pharmacy

LBN: Community Ancillary Services, Inc.
Eldercare Pharmacy is an health care organization with primary practice located at 4769 S Main St , Acworth GA 30101-5339. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Community Ancillary Services, Inc. can be contacted via phone (770) 974-4277, or through Lee, James via phone (478) 783-1515.

Contact Information

Primary practice address
4769 S Main St Acworth GA 30101-5339
Phone: (770) 974-4277
Fax: (770) 974-4208
Website:
Map and Directions
Authorized official contact:
Name: Lee, James
Phone: (478) 783-1515

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE008075 Georgia

Profile Details

NPI number 1235121617
LBN Legal business name Community Ancillary Services, Inc.
DBA Doing business as Eldercare Pharmacy
Authorized official Lee, James
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2005
Last updated Mar 11th, 2021 - about 3 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 1235121617 NPPES
Georgia MEDICAID 00811478A
Georgia Other 2020178

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