Pride Pharmacy

LBN: Pride Medical Inc
Pride Pharmacy is an health care organization with primary practice located at 3280 Howell Mill Rd Nw Suite 326, Atlanta GA 30327-4111. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pride Medical Inc can be contacted via phone (404) 355-3788, or through Nash, Jason via phone (404) 355-3788.

Contact Information

Primary practice address
3280 Howell Mill Rd Nw Suite 326 Atlanta GA 30327-4111
Phone: (404) 355-3788
Fax: (678) 244-2157
Website:
Map and Directions
Authorized official contact:
Name: Nash, Jason PHARMD
Phone: (404) 355-3788

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE007491 Georgia
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1568566511
LBN Legal business name Pride Medical Inc
DBA Doing business as Pride Pharmacy
Authorized official Nash, Jason PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Dec 18th, 2013 - about 11 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 1568566511 NPPES
Other 1141136 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 759295303A NCPDP PROVIDER IDENTIFICATION NUMBER

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