BAZE SPECIALTY PHARMACY LLC NPI 1245781061

NPI Information

  • NPI: 1245781061
  • Provider Name: BAZE SPECIALTY PHARMACY, LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 1526 E FORREST AVE
    SUITE 102
    EAST POINT, GA
    ZIP 30344
  • Phone: (404) 761-4448

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NPI Details

BAZE SPECIALTY PHARMACY, LLC is a durable medical equipment medical supplies in East Point, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. BAZE SPECIALTY PHARMACY, LLC NPI is 1245781061. The provider is registered as an organization entity type.

The provider's business location address is:

1526 E FORREST AVE
SUITE 102
EAST POINT, GA
ZIP 30344-986
Phone: (404) 761-4448
Fax: (404) 761-7905

The provider's authorized official is Athelia Balams Eze .
The authorized official title is Owner/pharmacist and has the following contact phone number (662) 323-5033.

The enumeration date for this NPI number is 10/17/2016 and was last updated on 10/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesPHRE010285GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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