Pruitthealth Pharmacy Services - Atlanta
LBN: Pruitthealth Pharmacy Services - Atlanta, Inc.
Pruitthealth Pharmacy Services - Atlanta is an health care organization with primary practice located at 1626 Jeurgens Ct Suite A, Norcross GA 30093-2219. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pruitthealth Pharmacy Services - Atlanta, Inc. can be contacted via phone (678) 533-6459, or through Pruitt, Neil L. via phone (770) 279-6200.
Contact Information
Primary practice address
1626 Jeurgens Ct Suite A
Norcross GA 30093-2219
Phone: (678) 533-6459
Fax: (770) 931-5253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1346385333 |
|---|---|
| LBN Legal business name | Pruitthealth Pharmacy Services - Atlanta, Inc. |
| DBA Doing business as | Pruitthealth Pharmacy Services - Atlanta |
| Authorized official | Pruitt, Neil L. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Sep 23rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346385333 | NPPES |
| Georgia | MEDICAID | 295907416A |
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