Peachtree Pharmacy & Medical Supply, Inc.

LBN: Peachtree Pharmacy & Medical Supply, Inc.
Peachtree Pharmacy & Medical Supply, Inc. is an health care organization with primary practice located at 579 Concord Rd Se Ste 900 , Smyrna GA 30082-2739. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Peachtree Pharmacy & Medical Supply, Inc. can be contacted via phone (770) 405-8664, or through Ekwebelem, Paul via phone (404) 488-4525.

Contact Information

Primary practice address
579 Concord Rd Se Ste 900 Smyrna GA 30082-2739
Fax: (770) 405-8663
Website:
Authorized official contact:
Name: Ekwebelem, Paul

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009856 Georgia

Profile Details

NPI number 1982954095
LBN Legal business name Peachtree Pharmacy & Medical Supply, Inc.
DBA Doing business as Peachtree Pharmacy & Medical Supply, Inc.
Authorized official Ekwebelem, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2012
Last updated Sep 17th, 2012 - about 12 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 1982954095 NPPES
Other 1162801 NCPDP PROVIDER IDENTIFICATION NUMBER

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