Premier Specialty Pharmacy

LBN: Premier Specialty Pharmacy Llc
Premier Specialty Pharmacy 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:
Map and Directions
Authorized official contact:
Name: Gougelmann, Buffy
Phone: (770) 622-8901

Health care specialties

SpecialtyCodeLicense #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 Premier Specialty Pharmacy
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013465236 NPPES
Other 2166839 PK

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