National Provider Identifier Database

CARROLLTON ORTHOPAEDIC CLINIC PC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

CARROLLTON ORTHOPAEDIC CLINIC PC
705 DALLAS HWY STE 301
VILLA RICA, GA30180-1243
Phone: 727-755-0693
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for CARROLLTON ORTHOPAEDIC CLINIC PC

NPI Number 1043670243
Legal business name
LBN
CARROLLTON ORTHOPAEDIC CLINIC PC
Authorized official JAMES GILBERT - (CFO)
Entity Organization
Organization subpart No
Enumeration date 03/01/2016
Last updated 03/03/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 038946
  • GA Medicaid: 000104427
  • Other: 2158464 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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