Creekside Pharmacy Corp
LBN: Creekside Pharmacy Corp
Creekside Pharmacy Corp is an health care organization with primary practice located at 220 Atlanta Rd , Cumming GA 30040-2610. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Creekside Pharmacy Corp can be contacted via phone (470) 297-5749, or through Addo, Anselm via phone (470) 297-5749.
Contact Information
Primary practice address
220 Atlanta Rd
Cumming GA 30040-2610
Phone: (470) 297-5749
Fax: (470) 297-5758
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Clinic Pharmacy | 3336C0002X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
NPI number | 1770041956 |
---|---|
LBN Legal business name | Creekside Pharmacy Corp |
DBA Doing business as | |
Authorized official | Addo, Anselm PHARMD |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 7th, 2019 |
Last updated | Feb 14th, 2022 - about 2 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 | 1770041956 | NPPES |
Georgia | MEDICAID | 003229122A |
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