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Contact Information

PRUITTHEALTH PHARMACY SERVICES - NORCROSS, INC.
1626 JEURGENS CT
BLDG 100 STE B
NORCROSS, GA30093
 Phone: 770-279-6200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PRUITTHEALTH PHARMACY SERVICES - NORCROSS, INC.

NPI Number 1952638579
LBN Legal business name PRUITTHEALTH PHARMACY SERVICES - NORCROSS, INC.
Authorized official NEIL PRUITT - (CHAIRMAN & CEO OF MGR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2009
Last updated 09/02/2025 - About 9 months ago
Identifiers
GA License # PHRE009656
GA Medicaid 474085527A
GA Other 1160023 NCPDP
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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