Conyers Pharmacy

LBN: Cowan Pharmacy Llc
Conyers Pharmacy is an health care organization with primary practice located at 1179 West Ave Sw , Conyers GA 30012-5280. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Cowan Pharmacy Llc can be contacted via phone (770) 929-1414, or through Mitcham, Adam via phone (770) 929-1414.

Contact Information

Primary practice address
1179 West Ave Sw Conyers GA 30012-5280
Phone: (770) 929-1414
Fax: (770) 929-3002
Website:
Map and Directions
Authorized official contact:
Name: Mitcham, Adam
Phone: (770) 929-1414

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE010400 Georgia

Profile Details

NPI number 1073521845
LBN Legal business name Cowan Pharmacy Llc
DBA Doing business as Conyers Pharmacy
Authorized official Mitcham, Adam
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 19th, 2018 - about 8 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 1073521845 NPPES
Georgia MEDICAID 003202657A
Georgia Other 2177325

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