Premier Drugstore

LBN: Premier Drugstore Llc
Premier Drugstore is an health care organization with primary practice located at 8446 Campbellton St , Douglasville GA 30134-1803. 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. Premier Drugstore Llc can be contacted via phone (770) 635-8509, or through Green, Bryan via phone (678) 481-0925.

Contact Information

Primary practice address
8446 Campbellton St Douglasville GA 30134-1803
Phone: (770) 635-8509
Fax: (770) 675-7296
Website:
Map and Directions
Authorized official contact:
Name: Green, Bryan
Phone: (678) 481-0925

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE010286 Georgia

Profile Details

NPI number 1114372448
LBN Legal business name Premier Drugstore Llc
DBA Doing business as Premier Drugstore
Authorized official Green, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2016
Last updated Apr 17th, 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 1114372448 NPPES
Other 2159731 PK
MEDICAID 0037175653A PK

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