Avita Pharmacy 1046 is not a DME supplier for medicare equipments and products.
Avita Pharmacy 1046 is a Community/Retail Pharmacy in Atlanta, Georgia. This pharmacy is owned and operated by Longs Drugs Of Sandersville Georgia Inc. It is located at 2140 Peachtree Rd Nw, Suite 232, Atlanta and it's customer support contact number is 404-231-4431. The authorized person of Avita Pharmacy 1046 is Carl Cody Colquitt who is Chief Financial Officer of the pharmacy and his contact number is 469-592-2011. Active license number of Avita Pharmacy 1046 is PHRE009702 for Community/Retail Pharmacy in Georgia. Avita Pharmacy 1046 is 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.
Pharmacy Details:
Avita Pharmacy 1046 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Avita Pharmacy 1046
Type:
Community/Retail Pharmacy
Location:
2140 Peachtree Rd Nw, Suite 232, Atlanta, Georgia, 30309-1316
Phone:
404-231-4431
Fax:
404-231-5677
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Carl Cody Colquitt
Position:
Chief Financial Officer
Contact Number:
469-592-2011
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1053357509
NPI Enumeration Date:
22 Jun, 2006
NPI Last Update On:
11 Dec, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Avita Pharmacy 1046 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PHRE009702
Georgia
Primary
Pharmacy
Secondary
Clinic Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1148279
Other
Ncpdp Provider Identification Number
003291812A
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5700 Granite Parkway, Suite 425 Plano, Texas
Zip:
75024-6648
Phone Number:
469-592-2011
Fax Number:
404-231-5677
Patients can reach Avita Pharmacy 1046 at 2140 Peachtree Rd Nw, Suite 232, Atlanta, Georgia or can call on customer care at 404-231-4431.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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