Summit Healthplex Pharmacy Inc

LBN: Summit Healthplex Pharmacy Inc
Summit Healthplex Pharmacy Inc is an health care organization with primary practice located at 1755 Highway 34 E Ste 1400, Newnan GA 30265-5631. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Summit Healthplex Pharmacy Inc can be contacted via phone (770) 252-7500, or through Matistic, Amy via phone (404) 394-3199.

Contact Information

Primary practice address
1755 Highway 34 E Ste 1400 Newnan GA 30265-5631
Fax: (770) 254-3652
Website:
Authorized official contact:
Name: Matistic, Amy PHRM

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 8497 Georgia

Profile Details

NPI number 1336222520
LBN Legal business name Summit Healthplex Pharmacy Inc
DBA Doing business as Summit Healthplex Pharmacy Inc
Authorized official Matistic, Amy PHRM
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Apr 22nd, 2011 - about 15 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 1336222520 NPPES
Georgia MEDICAID 000921093A
Georgia Other 1148724

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