Gainesville Pharmacy Llc

LBN: Gainesville Pharmacy Llc
Gainesville Pharmacy Llc is an health care organization with primary practice located at 1079 Jesse Jewell Pkwy Sw , Gainesville GA 30501-6103. 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. Gainesville Pharmacy Llc can be contacted via phone (678) 971-1000, or through Godreau, Itzelis via phone (912) 332-2794.

Contact Information

Primary practice address
1079 Jesse Jewell Pkwy Sw Gainesville GA 30501-6103
Phone: (678) 971-1000
Fax: (678) 971-1031
Website:
Map and Directions
Authorized official contact:
Name: Godreau, Itzelis
Phone: (912) 332-2794

Health care specialties

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

Profile Details

NPI number 1710548664
LBN Legal business name Gainesville Pharmacy Llc
DBA Doing business as
Authorized official Godreau, Itzelis
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2019
Last updated Mar 25th, 2020 - about 6 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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