Eagle Rx Llc

LBN: Eagle Rx Llc
Eagle Rx Llc is an health care organization with primary practice located at 1029 Honey Creek Rd Se , Conyers GA 30013-2948. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Eagle Rx Llc can be contacted via phone (570) 991-3956, or through Patel, Sachin via phone (570) 991-3956.

Contact Information

Primary practice address
1029 Honey Creek Rd Se Conyers GA 30013-2948
Phone: (570) 991-3956
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Patel, Sachin
Phone: (570) 991-3956

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1689203069
LBN Legal business name Eagle Rx Llc
DBA Doing business as
Authorized official Patel, Sachin
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2020
Last updated Apr 7th, 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 1689203069 NPPES
Georgia MEDICAID 003230598A

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