Dunwoody Pharmacy

LBN: Pcca Inc
Dunwoody Pharmacy is an health care organization with primary practice located at 4675 N Shallowford Rd Ste 101, Dunwoody GA 30338-6309. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Pcca Inc can be contacted via phone (770) 455-1144, or through Wilson, Charles via phone (770) 455-1144.

Contact Information

Primary practice address
4675 N Shallowford Rd Ste 101 Dunwoody GA 30338-6309
Phone: (770) 455-1144
Fax: (770) 936-8989
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Charles RPH
Phone: (770) 455-1144

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 6006 Georgia

Profile Details

NPI number 1568473064
LBN Legal business name Pcca Inc
DBA Doing business as Dunwoody Pharmacy
Authorized official Wilson, Charles RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated May 22nd, 2024 - about 2 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 1568473064 NPPES
Georgia MEDICAID 00655256A
Georgia Other 2015883

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