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Northeast Georgia Medical Center, Inc
Compounding Pharmacy in Braselton, Georgia
NPI 1992169197

Northeast Georgia Medical Center, Inc is a Compounding Pharmacy based in Atlanta, GA and is specialized in Compounding Pharmacy. Northeast Georgia Medical Center, Inc practices in Braselton, GA. The NPI Number for Northeast Georgia Medical Center, Inc is 1992169197 and holds a License No. (Georgia).

The current practice location address for Northeast Georgia Medical Center, Inc is 1515 River Pl Ste 180, Braselton, GA and can be reached out via phone at 770-848-6337 and via fax at 770-848-6338.

Location: 1515 River Pl Ste 180, Braselton, GA, 30374-1891
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992169197
Provider Name
Northeast Georgia Medical Center, Inc
Credential
Provider Entity Type
Organization
Address
1515 River Pl Ste 180, Braselton, GA, 30374-1891
Phone Number
770-848-6337
Fax Number
770-848-6338
Provider Enumeration Date
04/13/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003177713A 05 GA
2159511 01 PK
institution
Provider Business Practice Location Address Details
Address
1515 River Pl Ste 180
City
Braselton
State
Georgia
Zip
30517-5603
Phone Number
770-848-6337
Fax Number
770-848-6338
person
Provider Business Mailing Address Details
Address
1515 River Pl Ste 180
City
Braselton
State
Georgia
Zip
30517-5603
Phone Number
770-848-6337
Fax Number
770-848-6338
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PHRE010289 (Georgia)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
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.
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