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PHARMACEUTICAL CONCEPTS PC NPI 1942279278


NPI Information

NPI: 1942279278
Provider Name: PHARMACEUTICAL CONCEPTS PC

Doing Business As: LULA PHARMACY AND FOOTHILLS GIFT SHOP

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 11D2019094

Address:
6102 BANKS ST
LULA, GA
ZIP 30554
Phone: (770) 869-3616
Get Directions

PHARMACEUTICAL CONCEPTS PC is a community/retail pharmacy pharmacy in Lula, GA. The provider 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. PHARMACEUTICAL CONCEPTS PC NPI is 1942279278. The provider is registered as an organization entity type.
The provider Is Doing Business As Lula Pharmacy And Foothills Gift Shop.

The provider's business location address is:

6102 BANKS ST
LULA, GA
ZIP 30554-114
Phone: (770) 869-3616
Fax: (770) 869-9080

The provider's authorized official is Amy Miller .
The authorized official title is Pic and has the following contact phone number (770) 869-3616.

The CLIA number assigned to this NPI record is 11D2019094 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2006 and was last updated on 3/21/2017.


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
13336C0003XPharmacyCommunity/Retail PharmacyPHRE006369GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16088880001MEDICARE NSC
2000772395AMEDICAIDGEORGIA
32013842OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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