Cmc Pharmacy

LBN: Custom Medication And Compliance Specialists Inc
Cmc Pharmacy is an health care organization with primary practice located at 18 New Airport Rd Ste C, Lagrange GA 30240-1410. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Custom Medication And Compliance Specialists Inc can be contacted via phone (706) 884-2843, or through Hsieh, Ebell via phone (706) 884-2843.

Contact Information

Primary practice address
18 New Airport Rd Ste C Lagrange GA 30240-1410
Fax: (706) 884-8123
Website:
Authorized official contact:
Name: Hsieh, Ebell PHARM D

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE010299 Georgia

Profile Details

NPI number 1639186265
LBN Legal business name Custom Medication And Compliance Specialists Inc
DBA Doing business as Cmc Pharmacy
Authorized official Hsieh, Ebell PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Jun 19th, 2019 - about 5 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 1639186265 NPPES
Georgia MEDICAID 098311415A
Georgia Other 2016320

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