Concord Pharmacy

LBN: Jm Cardinal Investments Llc Lawrenceville
Concord Pharmacy is an health care organization with primary practice located at 575 Professional Dr Ste 170 , Lawrenceville GA 30046-3335. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Jm Cardinal Investments Llc Lawrenceville can be contacted via phone (770) 338-0971, or through Smith, Willie D via phone (678) 463-9598.

Contact Information

Primary practice address
575 Professional Dr Ste 170 Lawrenceville GA 30046-3335
Phone: (770) 338-0971
Fax: (770) 338-5275
Website:
Map and Directions
Authorized official contact:
Name: Smith, Willie D
Phone: (678) 463-9598

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE008760 Georgia

Profile Details

NPI number 1912921529
LBN Legal business name Jm Cardinal Investments Llc Lawrenceville
DBA Doing business as Concord Pharmacy
Authorized official Smith, Willie D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Apr 11th, 2023 - about last year

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 1912921529 NPPES
Georgia MEDICAID 00322858J

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