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 , Norcross GA 30093-2219. The organization recently has 6 registered licenses in different health care specialties including Agencies / Home Health, Laboratories / Clinical Medical Laboratory, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Home Infusion Therapy 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 Norcross GA 30093-2219
Phone: (678) 533-6459
Fax: (770) 931-5253
Website:
Map and Directions
Authorized official contact:
Name: Pruitt, Neil L
Phone: (770) 279-6200

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Laboratories / Clinical Medical Laboratory 291U00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X PHRE009153 Georgia
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PHRE009153 Georgia
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1962547992
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 Oct 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962547992 NPPES
Georgia MEDICAID 295907416A
Georgia Other 2119656

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