<Unavail>
LBN: Premier Specialty Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 11720 Medlock Bridge Rd Ste 162 , Johns Creek GA 30097-1513. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Premier Specialty Pharmacy Llc can be contacted via phone (770) 622-8901, or through Gougelmann, Buffy via phone (770) 622-8901.
Contact Information
Primary practice address
11720 Medlock Bridge Rd Ste 162
Johns Creek GA 30097-1513
Phone: (770) 622-8901
Fax: (770) 622-8900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE010313 | Georgia |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1013465236 |
|---|---|
| LBN Legal business name | Premier Specialty Pharmacy Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Gougelmann, Buffy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 16th, 2016 |
| Last updated | Feb 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013465236 | NPPES |
| Other | 2166839 | PK |
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