Organization · Type 2 NPI

River Edge Behavioral Health Center

Community/Retail Pharmacy · Atlanta, GA

NPI number 1972085769 Active

Practice location

265 Boulevard NE
Atlanta, GA 30312-1208

Call (404) 665-8550 Map

Fax (404) 665-8693

Mailing address

175 Emery Hwy
Macon, GA 31217-3692

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PHRE010434 (GA)

Community/Retail Pharmacy: 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 …

23 other providers at this address

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NPI record

NPI: 1972085769
Entity type: Organization (Type 2)
Issued: Aug 29, 2018
Last updated: Aug 29, 2018
Status: Active
Subpart: Yes of River Edge Behavioral Health Center

Other names

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River Edge Boulevard Pharmacy · doing business as

Authorized official

Jessica Oakes, DO
Billing Manager
(478) 803-7809

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972085769

River Edge Behavioral Health Center's National Provider Identifier is 1972085769, issued on Aug 29, 2018. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Atlanta, GA. The record was last updated on Aug 29, 2018.