North Dekalb Mhc Pharmacy

LBN: Dekalb Community Service Board
North Dekalb Mhc Pharmacy is an health care organization with primary practice located at 3807 Clairmont Rd , Chamblee GA 30341-4911. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Dekalb Community Service Board can be contacted via phone (770) 457-6236, or through Richey, Gary S via phone (404) 294-3836.

Contact Information

Primary practice address
3807 Clairmont Rd Chamblee GA 30341-4911
Phone: (770) 457-6236
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richey, Gary S MBA
Phone: (404) 294-3836

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 007051 Georgia

Profile Details

NPI number 1548260144
LBN Legal business name Dekalb Community Service Board
DBA Doing business as North Dekalb Mhc Pharmacy
Authorized official Richey, Gary S MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1548260144 NPPES
Georgia MEDICAID 00058858A
Georgia Other 1136654

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