Old Norcross Road Pharmacy

LBN: Old Norcross Road Pharmacy Llc
Old Norcross Road Pharmacy is an health care organization with primary practice located at 558 Old Norcross Rd Suite 201, Lawrenceville GA 30046-4385. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Old Norcross Road Pharmacy Llc can be contacted via phone (770) 682-8622, or through Igbokwe, Linus via phone (770) 682-8622.

Contact Information

Primary practice address
558 Old Norcross Rd Suite 201 Lawrenceville GA 30046-4385
Fax: (770) 682-8623
Website:
Authorized official contact:
Name: Igbokwe, Linus

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009621 Georgia

Profile Details

NPI number 1174852966
LBN Legal business name Old Norcross Road Pharmacy Llc
DBA Doing business as Old Norcross Road Pharmacy
Authorized official Igbokwe, Linus
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2009
Last updated Aug 10th, 2010 - about 16 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 1174852966 NPPES
Other 1159424 NCPDP PROVIDER IDENTIFICATION NUMBER

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