Presbyterian Village Pharmacy

LBN: Presbyterian Village Austell Inc
Presbyterian Village Pharmacy is an health care organization with primary practice located at 2000 E West Connector Attn: Pharmacy, Austell GA 30106-1194. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Presbyterian Village Austell Inc can be contacted via phone (770) 819-7001, or through Heritage, Debbie via phone (770) 819-7001.

Contact Information

Primary practice address
2000 E West Connector Attn: Pharmacy Austell GA 30106-1194
Phone: (770) 819-7001
Fax: (770) 819-7494
Website:
Map and Directions
Authorized official contact:
Name: Heritage, Debbie PHARMD
Phone: (770) 819-7001

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE009068 Georgia

Profile Details

NPI number 1396876793
LBN Legal business name Presbyterian Village Austell Inc
DBA Doing business as Presbyterian Village Pharmacy
Authorized official Heritage, Debbie PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Dec 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396876793 NPPES
Other 2017513 PK
MEDICAID 666876218A PK

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