Provider Demographics
NPI:1972324374
Name:PHARMACEUTICAL CONCEPTS PC
Entity type:Organization
Organization Name:PHARMACEUTICAL CONCEPTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-869-3616
Mailing Address - Street 1:PO BOX 436
Mailing Address - Street 2:
Mailing Address - City:LULA
Mailing Address - State:GA
Mailing Address - Zip Code:30554-0436
Mailing Address - Country:US
Mailing Address - Phone:770-869-3616
Mailing Address - Fax:770-869-9080
Practice Address - Street 1:6102 BANKS ST
Practice Address - Street 2:
Practice Address - City:LULA
Practice Address - State:GA
Practice Address - Zip Code:30554-5114
Practice Address - Country:US
Practice Address - Phone:770-869-3616
Practice Address - Fax:770-869-9080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy