Colorectal Pharmacy Inc
Compounding Pharmacy
2500 Hospital Blvd, Suite 150-a, Roswell
Georgia, 30076-4907
678-935-0331 678-935-0353
Colorectal Pharmacy Inc is not a DME supplier for medicare equipments and products.
Colorectal Pharmacy Inc is a Compounding Pharmacy in Roswell, Georgia. It is located at 2500 Hospital Blvd, Suite 150-a, Roswell and it's customer support contact number is 678-935-0331. The authorized person of Colorectal Pharmacy Inc is Scott Goldman who is Vice President of the pharmacy and his contact number is 678-935-0331. Active license number of Colorectal Pharmacy Inc is PHRE010265 for Compounding Pharmacy in Georgia.
Colorectal Pharmacy Inc is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Pharmacy Details:
Colorectal Pharmacy Inc 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: | Colorectal Pharmacy Inc |
| Type: | Compounding Pharmacy |
| Location: | 2500 Hospital Blvd, Suite 150-a, Roswell, Georgia, 30076-4907 |
| Phone: | 678-935-0331 |
| Fax: | 678-935-0353 |
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: | Scott Goldman |
| Position: | Vice President |
| Contact Number: | 678-935-0331 |
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: | 1770941825 |
| NPI Enumeration Date: | 03 Feb, 2016 |
| NPI Last Update On: | 05 Feb, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Colorectal Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Compounding Pharmacy | PHRE010265 | Georgia | Primary | |
| 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 |
| 2157931 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2500 Hospital Blvd, Suite 150-a Roswell, Georgia |
| Zip: | 30076-4907 |
| Phone Number: | 678-935-0331 |
| Fax Number: | 678-935-0353 |
Patients can reach Colorectal Pharmacy Inc at
2500 Hospital Blvd, Suite 150-a, Roswell, Georgia or can
call on customer care at 678-935-0331.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.