Wellstar Pharmacy Network
LBN: Kennestone Hospital, Inc
Wellstar Pharmacy Network is an health care organization with primary practice located at 3950 Austell Rd Suite 8, Austell GA 30106-1121. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kennestone Hospital, Inc can be contacted via phone (470) 732-2111, or through Erzuah, Ebenezer via phone (470) 956-4981.
Contact Information
Primary practice address
3950 Austell Rd Suite 8
Austell GA 30106-1121
Phone: (470) 732-2111
Fax: (678) 495-8798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1386943009 |
|---|---|
| LBN Legal business name | Kennestone Hospital, Inc |
| DBA Doing business as | Wellstar Pharmacy Network |
| Authorized official | Erzuah, Ebenezer |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 21st, 2011 |
| Last updated | May 6th, 2020 - about 5 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 | 1386943009 | NPPES |
| Other | 2129620 | PK | |
| MEDICAID | 003112057A | PK |
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