Lee Goodrum Eastside Pharmacy

LBN: Thompson'S Pharmacy, Inc.
Lee Goodrum Eastside Pharmacy is an health care organization with primary practice located at 134 Millard Farmer Industrial Blvd , Newnan GA 30263. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Pharmacy Service Providers / Pharmacist is the primary health care specialty. Thompson'S Pharmacy, Inc. can be contacted via phone (770) 251-4808, or through Thompson, Trey John Berl via phone (404) 969-9734.

Contact Information

Primary practice address
134 Millard Farmer Industrial Blvd Newnan GA 30263
Phone: (770) 251-4808
Fax: (770) 251-4815
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Trey John Berl PHARMD
Phone: (404) 969-9734

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X
Suppliers / Community/Retail Pharmacy 3336C0003X 007093 Georgia
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1760534010
LBN Legal business name Thompson'S Pharmacy, Inc.
DBA Doing business as Lee Goodrum Eastside Pharmacy
Authorized official Thompson, Trey John Berl PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Aug 18th, 2020 - about 6 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 1760534010 NPPES
Other 1134927 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 403928A NCPDP PROVIDER IDENTIFICATION NUMBER

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