Lilburn Community Pharmacy

LBN: Lilburn Community Pharmacy
Lilburn Community Pharmacy is an health care organization with primary practice located at 4025 Lawrenceville Hwy Nw Ste D , Lilburn GA 30047-2876. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lilburn Community Pharmacy can be contacted via phone (770) 710-0478, or through Khatri, Samina C via phone (770) 710-0478.

Contact Information

Primary practice address
4025 Lawrenceville Hwy Nw Ste D Lilburn GA 30047-2876
Fax: (770) 710-0861
Website:
Authorized official contact:
Name: Khatri, Samina C PHARMACY

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009917 Georgia
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1134563406
LBN Legal business name Lilburn Community Pharmacy
DBA Doing business as Lilburn Community Pharmacy
Authorized official Khatri, Samina C PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2013
Last updated May 4th, 2024 - about 7 months 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 1134563406 NPPES
Other 2139893 PK
MEDICAID 003133182A PK

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