Specialty Care, Llc

LBN: Specialty Care, Llc
Specialty Care, Llc is an health care organization with primary practice located at 4229 1St Ave Ste B , Tucker GA 30084-4469. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Specialty Care, Llc can be contacted via phone (770) 496-8998, or through Raval, Amit via phone (770) 496-8998.

Contact Information

Primary practice address
4229 1St Ave Ste B Tucker GA 30084-4469
Fax:
Website:
Authorized official contact:
Name: Raval, Amit

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE010292 Georgia

Profile Details

NPI number 1548617137
LBN Legal business name Specialty Care, Llc
DBA Doing business as
Authorized official Raval, Amit
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2016
Last updated Jul 13th, 2016 - about 10 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 1548617137 NPPES
Georgia MEDICAID 003176651A

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