Pruitthealth Pharmacy Services - Toccoa

LBN: Pruitthealth Pharmacy Services, Inc.
Pruitthealth Pharmacy Services - Toccoa is an health care organization with primary practice located at 377 North Pond Street , Toccoa GA 30577-1920. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Pruitthealth Pharmacy Services, Inc. can be contacted via phone (706) 886-7787, or through Pruitt, Neil L via phone (770) 279-6200.

Contact Information

Primary practice address
377 North Pond Street Toccoa GA 30577-1920
Phone: (706) 886-7787
Fax: (706) 886-2939
Website:
Map and Directions
Authorized official contact:
Name: Pruitt, Neil L
Phone: (770) 279-6200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1902853112
LBN Legal business name Pruitthealth Pharmacy Services, Inc.
DBA Doing business as Pruitthealth Pharmacy Services - Toccoa
Authorized official Pruitt, Neil L
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Mar 27th, 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 1902853112 NPPES
Georgia MEDICAID 00033767A
Georgia MEDICAID 0116756

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