Colliers Pharmacy

LBN: M White Holdings Llc
Colliers Pharmacy is an health care organization with primary practice located at 5705 Buford Hwy Ne , Doraville GA 30340-1206. 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. M White Holdings Llc can be contacted via phone (770) 455-4433, or through White, Mark via phone (770) 455-4433.

Contact Information

Primary practice address
5705 Buford Hwy Ne Doraville GA 30340-1206
Phone: (770) 455-4433
Fax: (770) 454-9144
Website:
Map and Directions
Authorized official contact:
Name: White, Mark RPH
Phone: (770) 455-4433

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE004985 Georgia
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1972561389
LBN Legal business name M White Holdings Llc
DBA Doing business as Colliers Pharmacy
Authorized official White, Mark RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Apr 14th, 2017 - about 9 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 1972561389 NPPES
Other 2013845 PK
MEDICAID 00119666A PK
MEDICAID 00119666B PK

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