Organization · Type 2 NPI
Northeast Georgia Health Services
Managed Care Organization Pharmacy · Gainesville, GA
NPI number
1518090836
Active
Practice location
825 Jesse Jewell Parkway Suite D
Gainesville, GA 30501-3715
Fax (678) 897-6338
Mailing address
PO Box 741891
Atlanta, GA 30374-1891
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Managed Care Organization Pharmacy Primary | 3336M0003X | PHRE007738 (GA) |
Managed Care Organization Pharmacy: A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
About NPI 1518090836
Northeast Georgia Health Services's National Provider Identifier is 1518090836, issued on Mar 14, 2007. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Gainesville, GA. The record was last updated on Apr 22, 2020.