Healthcare Provider Details

I. General information

NPI: 1275785743
Provider Name (Legal Business Name): PHARMACEUTICAL SPECIALTIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2008
Last Update Date: 05/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

958 MCEVER RD SUITE B-8
GAINESVILLE GA
30504-3972
US

IV. Provider business mailing address

150 CLEVELAND RD SUITE A
BOGART GA
30622-1701
US

V. Phone/Fax

Practice location:
  • Phone: 800-818-6486
  • Fax: 800-818-6490
Mailing address:
  • Phone: 706-369-9591
  • Fax: 706-369-9698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number10257
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHRE009506
License Number StateGA

VIII. Authorized Official

Name: JANICE WILLIAMS
Title or Position: PHARMACIST
Credential: BS PHARMACY
Phone: 800-818-6486