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
812 S PARK ST STE 3
CARROLLTON, GA30117-4412
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 1912367111
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 03/04/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 038964
  • GA Medicaid: 000104427
  • Other: 2158456 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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