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:
Map and Directions
Authorized official contact:
Name: Wright, Joel
Phone: (806) 242-7782

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598872210 NPPES
Virginia MEDICAID VA010169101
Virginia Other 2015157
Virginia MEDICAID 000710542E

Popular Providers