Mountainview Pharmacy

LBN: Sunrise Enterprises Inc
Mountainview Pharmacy is an health care organization with primary practice located at 1275 Powers Ferry Rd Se Ste 170 , Marietta GA 30067-9487. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sunrise Enterprises Inc can be contacted via phone (770) 272-9612, or through Ukoh, Jane via phone (770) 272-9612.

Contact Information

Primary practice address
1275 Powers Ferry Rd Se Ste 170 Marietta GA 30067-9487
Phone: (770) 272-9612
Fax: (770) 272-9613
Website:
Map and Directions
Authorized official contact:
Name: Ukoh, Jane
Phone: (770) 272-9612

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009646 Georgia
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1639400070
LBN Legal business name Sunrise Enterprises Inc
DBA Doing business as Mountainview Pharmacy
Authorized official Ukoh, Jane
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2010
Last updated Jan 21st, 2020 - 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 1639400070 NPPES
Georgia MEDICAID 951416911A
Georgia Other 2123636

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