Pruitthealth Pharmacy Services - Christian City

LBN: Pruitthealth Pharmacy Services - Christian City, Llc
Pruitthealth Pharmacy Services - Christian City is an health care organization with primary practice located at 7300 Lester Rd Bldg P, Union City GA 30291-2328. The organization recently has 4 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Pruitthealth Pharmacy Services - Christian City, Llc can be contacted via phone (770) 210-5900, or through Pruitt, Neil L. via phone (770) 279-6200.

Contact Information

Primary practice address
7300 Lester Rd Bldg P Union City GA 30291-2328
Phone: (770) 210-5900
Fax: (770) 500-1116
Website:
Map and Directions
Authorized official contact:
Name: Pruitt, Neil L.
Phone: (770) 279-6200

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009656 Georgia
Suppliers / Institutional Pharmacy 3336I0012X PHRE009656 Georgia
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE009656 Georgia

Profile Details

NPI number 1952638579
LBN Legal business name Pruitthealth Pharmacy Services - Christian City, Llc
DBA Doing business as Pruitthealth Pharmacy Services - Christian City
Authorized official Pruitt, Neil L.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2009
Last updated Jun 3rd, 2021 - 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 1952638579 NPPES
Georgia Other 1160023 NCPDP
Georgia MEDICAID 474085527A NCPDP

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