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Contact Information

PEACHTREE PHARMACY SERVICES
1018 SOUTH MAIN STR
HWY 129 SUITE A
CLEVELAND, GA30528
 Phone: 706-865-0367
 Fax: 706-865-0931
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for PEACHTREE PHARMACY SERVICES

NPI Number 1023210044
LBN Legal business name PEACHTREE PHARMACY SERVICES
Authorized official JAMES HERNDON - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/01/2007
Last updated 11/06/2007 - About 19 years ago
Identifiers
GA License # 014565
GA Other PHRE009156 PHARMACY LIC NUM
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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