Mableton Pharmacy & Uniforms

LBN: Leeland Pharmacy
Mableton Pharmacy & Uniforms is an health care organization with primary practice located at 5390 Floyd Rd Sw , Mableton GA 30126-2216. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Leeland Pharmacy can be contacted via phone (770) 948-3133, or through Marquess, Jonathan via phone (770) 948-3133.

Contact Information

Primary practice address
5390 Floyd Rd Sw Mableton GA 30126-2216
Phone: (770) 948-3133
Fax: (770) 948-3660
Website:
Map and Directions
Authorized official contact:
Name: Marquess, Jonathan
Phone: (770) 948-3133

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE005933 Georgia

Profile Details

NPI number 1699272641
LBN Legal business name Leeland Pharmacy
DBA Doing business as Mableton Pharmacy & Uniforms
Authorized official Marquess, Jonathan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2018
Last updated Apr 6th, 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 1699272641 NPPES
Other 2176496 PK
MEDICAID 000181816A PK

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