Maxor Specialty Pharmacy
LBN: Pharmaceutical Specialties Llc
Maxor Specialty Pharmacy is an health care organization with primary practice located at 150 Cleveland Rd Ste B , Bogart GA 30622-1701. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pharmaceutical Specialties Llc can be contacted via phone (800) 818-6486, or through Wright, Joel via phone (806) 242-7782.
Contact Information
Primary practice address
150 Cleveland Rd Ste B
Bogart GA 30622-1701
Phone: (800) 818-6486
Fax: (706) 369-9591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 64001645A | Indiana |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054020194 | Illinois |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHHH000053 | Georgia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | GA1819 | Kentucky |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PMP1375 | Hawaii |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 44091MS | Idaho |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 22-101589 | Kansas |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y007057 | Arizona |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | OSP.0006308 | Colorado |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 117770 | Alaska |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1598872210 |
|---|---|
| LBN Legal business name | Pharmaceutical Specialties Llc |
| DBA Doing business as | Maxor Specialty Pharmacy |
| Authorized official | Wright, Joel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Dec 15th, 2023 - about last year |
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 | 1598872210 | NPPES |
| Virginia | MEDICAID | VA010169101 | |
| Virginia | Other | 2015157 | |
| Virginia | MEDICAID | 000710542E |
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