Duluth Pharmacy

LBN: Duluth Pharmacy Llc
Duluth Pharmacy is an health care organization with primary practice located at 3890 Pleasant Hill Rd Ste 103 , Duluth GA 30096-4807. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Duluth Pharmacy Llc can be contacted via phone (770) 476-2820, or through Jayanthi, Badrinath via phone (678) 254-9200.

Contact Information

Primary practice address
3890 Pleasant Hill Rd Ste 103 Duluth GA 30096-4807
Phone: (770) 476-2820
Fax: (770) 476-2811
Website:
Map and Directions
Authorized official contact:
Name: Jayanthi, Badrinath
Phone: (678) 254-9200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009996 Georgia
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1285050823
LBN Legal business name Duluth Pharmacy Llc
DBA Doing business as Duluth Pharmacy
Authorized official Jayanthi, Badrinath
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2014
Last updated Jun 9th, 2022 - 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 1285050823 NPPES
Georgia MEDICAID 003145071A

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