Specialty Pharmacy & Compounding

LBN: Specialty Pharmacy & Compounding
Specialty Pharmacy & Compounding is an health care organization with primary practice located at 650 Henderson Dr Suite 508, Cartersville GA 30120-3744. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Specialty Pharmacy & Compounding can be contacted via phone (770) 607-3455, or through Callosoe, Kevin via phone (770) 596-6998.

Contact Information

Primary practice address
650 Henderson Dr Suite 508 Cartersville GA 30120-3744
Phone: (770) 607-3455
Fax: (770) 607-3457
Website:
Map and Directions
Authorized official contact:
Name: Callosoe, Kevin
Phone: (770) 596-6998

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE009616 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009616 Georgia
Suppliers / Specialty Pharmacy 3336S0011X PHRE009616 Georgia

Profile Details

NPI number 1184951337
LBN Legal business name Specialty Pharmacy & Compounding
DBA Doing business as
Authorized official Callosoe, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2009
Last updated Nov 9th, 2009 - about 15 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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