East Marietta Drug Company, Inc
LBN: East Marietta Drug Company, Inc
East Marietta Drug Company, Inc is an health care organization with primary practice located at 1480 Roswell Rd , Marietta GA 30062-3670. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
East Marietta Drug Company, Inc can be contacted via phone (770) 973-7600, or through Marquess, Jonathan via phone (770) 973-7600.
Contact Information
Primary practice address
1480 Roswell Rd
Marietta GA 30062-3670
Phone: (770) 973-7600
Fax: (770) 973-3032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | PHRE007888 | Georgia |
Profile Details
| NPI number | 1972000917 |
|---|---|
| LBN Legal business name | East Marietta Drug Company, Inc |
| DBA Doing business as | East Marietta Drug Company, Inc |
| Authorized official | Marquess, Jonathan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 6th, 2018 |
| Last updated | Apr 6th, 2018 - about 6 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 | 1972000917 | NPPES |
| Georgia | MEDICAID | 000026342A | |
| Georgia | Other | 2176495 |
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