Pharmaceutical Specialties Llc, NPI 1598872210
Community/Retail Pharmacy in Bogart, 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 1598872210
NPI Entity Type Organization
Provider Name Pharmaceutical Specialties Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 150 Cleveland Rd, Ste B, Bogart, GA, US
Provider Mailing Address 320 S Polk St Ste 800, Amarillo, TX, US, 791011429
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Ross Halsne
Official Position VICE PRESIDENT-PHARMACY CONTRACTING
Phone 806-242-7782

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

Description A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Other Organization Name

Maxor Specialty Pharmacy
Doing Business As

Business Address

Pharmaceutical Specialties Llc
150 Cleveland Rd
Ste B

Bogart, GA, US

Phone: 800-818-6486
Fax: 706-369-9591

Mailing Address

Pharmaceutical Specialties Llc
320 S Polk St Ste 800
Amarillo, TX, US
ZIP 791011429
Phone: 806-242-7782
Fax: 706-621-7263

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336C0003X

Suppliers

Pharmacy

22-101589 KS No

3336C0003X

Suppliers

Pharmacy

Y007057 AZ No

3336C0003X

Suppliers

Pharmacy

OSP.0006308 CO No

3336C0003X

Suppliers

Pharmacy

44091MS ID No

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

3336C0003X

Suppliers

Pharmacy

64001645A IN No

3336C0003X

Suppliers

Pharmacy

054020194 IL No

3336C0003X

Suppliers

Pharmacy

PHHH000053 GA No

3336C0003X

Suppliers

Pharmacy

GA1819 KY No

3336C0003X

Suppliers

Pharmacy

PMP1375 HI No

3336C0003X

Suppliers

Pharmacy

117770 AK No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
VA010169101 VA MEDICAID 05
000710542E GA MEDICAID 05
2015157 PK 01

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FNP-C Sandra Nicole Mcneal

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Georgia Department Of Behavioral Health And Developmental Disabilities

Organization

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1801511258

Atlanta Hand Therapy, Llc

Organization

Hand Occupational Therapist

6115 Peachtree Dunwoody Rd Ste 210

Sandy Springs, GA

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