Sugarloaf Pharmacy
LBN: Sugarloaf Pharmacy Inc
Sugarloaf Pharmacy is an health care organization with primary practice located at 4825 Sugarloaf Pkwy Ste Bc , Lawrenceville GA 30044-8800. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Sugarloaf Pharmacy Inc can be contacted via phone (770) 220-7770, or through Gourdikian, Kerop via phone (770) 220-7770.
Contact Information
Primary practice address
4825 Sugarloaf Pkwy Ste Bc
Lawrenceville GA 30044-8800
Phone: (770) 220-7770
Fax: (770) 220-7777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE009781 | Georgia |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1740577527 |
|---|---|
| LBN Legal business name | Sugarloaf Pharmacy Inc |
| DBA Doing business as | Sugarloaf Pharmacy |
| Authorized official | Gourdikian, Kerop PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 30th, 2011 |
| Last updated | Feb 8th, 2012 - about 14 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 | 1740577527 | NPPES |
| Georgia | MEDICAID | 003116217A | |
| Georgia | Other | 1161594 |
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