Hudson Bridge Pharmacy
LBN: Hudson Bridge Pharmacy Inc
Hudson Bridge Pharmacy is an health care organization with primary practice located at 1110 Eagles Landing Pkwy , Stockbridge GA 30281-7271. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Hudson Bridge Pharmacy Inc can be contacted via phone (770) 474-0842, or through Key, David via phone (770) 474-0842.
Contact Information
Primary practice address
1110 Eagles Landing Pkwy
Stockbridge GA 30281-7271
Phone: (770) 474-0842
Fax: (770) 474-7114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE006922 | Georgia |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1578629846 |
|---|---|
| LBN Legal business name | Hudson Bridge Pharmacy Inc |
| DBA Doing business as | Hudson Bridge Pharmacy |
| Authorized official | Key, David RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Dec 9th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578629846 | NPPES |
| Georgia | MEDICAID | 00364977A | |
| Georgia | Other | 2015895 |
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