institution
Northeast Georgia Medical Center, Inc.
Long Term Care Pharmacy in Gainesville, Georgia
NPI 1124183355

Northeast Georgia Medical Center, Inc. is a Long Term Care Pharmacy based in Atlanta, GA and is specialized in Long Term Care Pharmacy. Northeast Georgia Medical Center, Inc. practices in Gainesville, GA. The NPI Number for Northeast Georgia Medical Center, Inc. is 1124183355 and holds a License No. (Georgia).

The current practice location address for Northeast Georgia Medical Center, Inc. is 825 Jesse Jewell Pkwy Se, Gainesville, GA and can be reached out via phone at 770-538-7559.

Location: 825 Jesse Jewell Pkwy Se, Gainesville, GA, 30374-1891
institution
Provider Profile Details
NPI Number
1124183355
Provider Name
Northeast Georgia Medical Center, Inc.
Credential
Provider Entity Type
Organization
Address
825 Jesse Jewell Pkwy Se, Gainesville, GA, 30374-1891
Phone Number
770-538-7559
Fax Number
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1119987 01 GA NCPDP
00608583A 05 GA
PHRE007738 01 GA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
825 Jesse Jewell Pkwy Se
City
State
Zip
30501-3830
Phone Number
770-538-7559
Fax Number
person
Provider Business Mailing Address Details
Address
825 Jesse Jewell Pkwy Se
City
State
Zip
30501-3830
Phone Number
770-538-7559
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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