Allstate Pharmacy

LBN: Allstate Pharmaceuticals Llc
Allstate Pharmacy is an health care organization with primary practice located at 1940 Parker Ct Suite D, Stone Mountain GA 30087-6400. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Allstate Pharmaceuticals Llc can be contacted via phone (770) 978-7400, or through Willis, Ted via phone (770) 978-7400.

Contact Information

Primary practice address
1940 Parker Ct Suite D Stone Mountain GA 30087-6400
Phone: (770) 978-7400
Fax: (770) 978-7402
Website:
Map and Directions
Authorized official contact:
Name: Willis, Ted
Phone: (770) 978-7400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009590 Georgia
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X

Profile Details

NPI number 1487893285
LBN Legal business name Allstate Pharmaceuticals Llc
DBA Doing business as Allstate Pharmacy
Authorized official Willis, Ted
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2009
Last updated Jan 5th, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487893285 NPPES
Other 1158927 NCPDP PROVIDER IDENTIFICATION NUMBER

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