Healthcare Provider Details

I. General information

NPI: 1760862247
Provider Name (Legal Business Name): HEALTHCARE SPECIALTY TRANSACTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2015
Last Update Date: 06/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1267 PROFESSIONAL PKWY STE 200
GAINESVILLE GA
30507-8705
US

IV. Provider business mailing address

1267 PROFESSIONAL PKWY SUITE 200
GAINESVILLE GA
30507-8705
US

V. Phone/Fax

Practice location:
  • Phone: 844-375-3003
  • Fax: 844-375-3004
Mailing address:
  • Phone: 844-375-3003
  • Fax: 844-375-3004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHRE010152
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ROSE
Title or Position: CHIEF PHARMACY OFFICER
Credential:
Phone: 800-662-0586