<Unavail>

LBN: Colorectal Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 2500 Hospital Blvd Suite 150-A, Roswell GA 30076-4907. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Colorectal Pharmacy Inc can be contacted via phone (678) 935-0331, or through Goldman, Scott via phone (678) 935-0331.

Contact Information

Primary practice address
2500 Hospital Blvd Suite 150-A Roswell GA 30076-4907
Phone: (678) 935-0331
Fax: (678) 935-0353
Website:
Map and Directions
Authorized official contact:
Name: Goldman, Scott
Phone: (678) 935-0331

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X PHRE010265 Georgia

Profile Details

NPI number 1770941825
LBN Legal business name Colorectal Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Goldman, Scott
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2016
Last updated Feb 5th, 2016 - about 10 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 1770941825 NPPES
Other 2157931 PK

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