Mckinney'S Apothecary

LBN: Nas Decatur Llc
Mckinney'S Apothecary is an health care organization with primary practice located at 225 E Ponce De Leon Ave Suite 140, Decatur GA 30030-3444. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Nas Decatur Llc can be contacted via phone (404) 378-5408, or through Shah, Samir via phone (706) 825-8182.

Contact Information

Primary practice address
225 E Ponce De Leon Ave Suite 140 Decatur GA 30030-3444
Fax: (404) 378-5400
Website:
Authorized official contact:
Name: Shah, Samir PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE003374 Georgia

Profile Details

NPI number 1831293885
LBN Legal business name Nas Decatur Llc
DBA Doing business as Mckinney'S Apothecary
Authorized official Shah, Samir PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Aug 2nd, 2022 - about 2 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 1831293885 NPPES
Other 2012320 PK
MEDICAID 00031523A PK

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