Eagle'S Landing Pharmacy

LBN: Eagle'S Landing Pharmacy
Eagle'S Landing Pharmacy is an health care organization with primary practice located at 1090 Eagle'S Landing Pkwy , Stockbridge GA 30281. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Eagle'S Landing Pharmacy can be contacted via phone (770) 474-5005, or through Rink, David Thomas via phone (770) 474-5005.

Contact Information

Primary practice address
1090 Eagle'S Landing Pkwy Stockbridge GA 30281
Phone: (770) 474-5005
Fax: (770) 474-8093
Website:
Map and Directions
Authorized official contact:
Name: Rink, David Thomas RPH
Phone: (770) 474-5005

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE007404 Georgia

Profile Details

NPI number 1558585463
LBN Legal business name Eagle'S Landing Pharmacy
DBA Doing business as
Authorized official Rink, David Thomas RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Mar 27th, 2015 - about 9 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 1558585463 NPPES
Georgia MEDICAID 000507515B
Georgia MEDICAID 000507515A

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