Woodstock Pharmacy

LBN: Woodstock Pharmaceutical & Compounding Center Inc
Woodstock Pharmacy is an health care organization with primary practice located at 8612 Main St , Woodstock GA 30188-4829. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Woodstock Pharmaceutical & Compounding Center Inc can be contacted via phone (678) 285-0760, or through Marquess, Jonathan via phone (770) 092-6647.

Contact Information

Primary practice address
8612 Main St Woodstock GA 30188-4829
Phone: (678) 285-0760
Fax: (770) 971-0315
Website:
Map and Directions
Authorized official contact:
Name: Marquess, Jonathan
Phone: (770) 092-6647

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE007695 Georgia
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1184128290
LBN Legal business name Woodstock Pharmaceutical & Compounding Center Inc
DBA Doing business as Woodstock Pharmacy
Authorized official Marquess, Jonathan
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2018
Last updated Jul 27th, 2018 - about 6 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 1184128290 NPPES
Other 2176507 PK
MEDICAID 000178373A PK

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