Lawrence Pharmacy

LBN: Elben Rx Inc
Lawrence Pharmacy 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:
Map and Directions
Authorized official contact:
Name: Sullens, Christopher
Phone: (770) 532-0186

Health care specialties

SpecialtyCodeLicense #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 Lawrence Pharmacy
Authorized official Sullens, Christopher
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2017
Last updated May 25th, 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 1730695040 NPPES
Georgia MEDICAID 000673219A
Georgia Other 2174745

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