River Edge Boulevard Pharmacy

LBN: River Edge Behavioral Health Center
River Edge Boulevard Pharmacy is an health care organization with primary practice located at 265 Boulevard Ne , Atlanta GA 30312-1208. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. River Edge Behavioral Health Center can be contacted via phone (404) 665-8550, or through Oakes, Jessica via phone (478) 803-7809.

Contact Information

Primary practice address
265 Boulevard Ne Atlanta GA 30312-1208
Phone: (404) 665-8550
Fax: (404) 665-8693
Website:
Map and Directions
Authorized official contact:
Name: Oakes, Jessica Doctor of Osteopathy (DO)
Phone: (478) 803-7809

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE010434 Georgia

Profile Details

NPI number 1972085769
LBN Legal business name River Edge Behavioral Health Center
DBA Doing business as River Edge Boulevard Pharmacy
Authorized official Oakes, Jessica Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 29th, 2018
Last updated Aug 29th, 2018 - about 8 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 1972085769 NPPES
Georgia Other PHRE010434 GEORGIA PHARMACY LICENSE

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