N. Broad Pharmacy

LBN: Pemana Enterprises Llc
N. Broad Pharmacy is an health care organization with primary practice located at 1421 N Broad St Ne , Rome GA 30161-5215. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pemana Enterprises Llc can be contacted via phone (770) 837-2512, or through Patel, Nancy via phone (404) 754-9551.

Contact Information

Primary practice address
1421 N Broad St Ne Rome GA 30161-5215
Phone: (770) 837-2512
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Patel, Nancy
Phone: (404) 754-9551

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE010051 Georgia

Profile Details

NPI number 1952718991
LBN Legal business name Pemana Enterprises Llc
DBA Doing business as N. Broad Pharmacy
Authorized official Patel, Nancy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2014
Last updated Jul 22nd, 2014 - about 12 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 1952718991 NPPES
Other 2146954 PK

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