<Unavail>
LBN: Elben Rx Inc
<Unavail> is an health care organization with primary practice located at 631 Broad St Se , Gainesville GA 30501-3729. 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.
Elben Rx Inc can be contacted via phone (770) 532-0186, or through Sullens, Christopher via phone (770) 532-0186.
Contact Information
Primary practice address
631 Broad St Se
Gainesville GA 30501-3729
Phone: (770) 532-0186
Fax: (770) 503-1016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE010419 | Georgia |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1730695040 |
|---|---|
| LBN Legal business name | Elben Rx Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Sullens, Christopher |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 21st, 2017 |
| Last updated | Sep 19th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730695040 | NPPES |
| Georgia | MEDICAID | 000673219A | |
| Georgia | Other | 2174745 |
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