Northeast Georgia Medical Center Pharmacy-Braselton
LBN: Northeast Georgia Medical Center, Inc
Northeast Georgia Medical Center Pharmacy-Braselton is an health care organization with primary practice located at 1515 River Pl Ste 180 , Braselton GA 30517-5603. 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.
Northeast Georgia Medical Center, Inc can be contacted via phone (770) 848-6337, or through Steines, Brian D via phone (770) 219-3562.
Contact Information
Primary practice address
1515 River Pl Ste 180
Braselton GA 30517-5603
Phone: (770) 848-6337
Fax: (770) 848-6338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE010289 | Georgia |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1992169197 |
|---|---|
| LBN Legal business name | Northeast Georgia Medical Center, Inc |
| DBA Doing business as | Northeast Georgia Medical Center Pharmacy-Braselton |
| Authorized official | Steines, Brian D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 13th, 2016 |
| Last updated | Apr 22nd, 2020 - about 4 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 | 1992169197 | NPPES |
| Georgia | MEDICAID | 003177713A | |
| Georgia | Other | 2159511 |
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