Credencerx Specialty Pharmacy

LBN: Credencerx Specialty Pharmacy
Credencerx Specialty Pharmacy is an health care organization with primary practice located at 3465 Santa Fe Trl , Doraville GA 30340-2719. The organization recently has only one registered license in Suppliers / Specialty Pharmacy, which is considered as the primary health care specialty. Credencerx Specialty Pharmacy can be contacted via phone (678) 358-0917, or through Ellerby, Andre via phone (678) 358-0917.

Contact Information

Primary practice address
3465 Santa Fe Trl Doraville GA 30340-2719
Phone: (678) 358-0917
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellerby, Andre
Phone: (678) 358-0917

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1528730595
LBN Legal business name Credencerx Specialty Pharmacy
DBA Doing business as
Authorized official Ellerby, Andre
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2021
Last updated Sep 29th, 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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