Community Ancillary Services, Inc., NPI 1235121617
Long Term Care Pharmacy in Acworth, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1235121617
NPI Entity Type Organization
Provider Name Community Ancillary Services, Inc.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 4769 S Main St, Acworth, GA, US
Provider Mailing Address Po Box 1038, Acworth, GA, US, 301018938
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name James Lee
Official Position SENIOR VICE PRESIDENT
Phone 478-783-1515

Primary Taxonomy

Taxonomy Code

3336L0003X

Taxonomy Name Long Term Care Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. PHRE008075
License State GA
Description A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Other Organization Name

Eldercare Pharmacy
Doing Business As

Business Address

Community Ancillary Services, Inc.
4769 S Main St

Acworth, GA, US

Phone: 770-974-4277
Fax: 770-974-4208

Mailing Address

Community Ancillary Services, Inc.
Po Box 1038
Acworth, GA, US
ZIP 301018938
Phone: 770-974-4277
Fax: 770-974-4208

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

333600000X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
00811478A GA MEDICAID 05
2020178 PK 01

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