Healthcare Provider Details
I. General information
NPI: 1235523937
Provider Name (Legal Business Name): EHI PHARMACY SOLUTIONS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2015
Last Update Date: 03/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 MEDICAL CENTER BLVD STE. 100
LAWRENCEVILLE GA
30046-8708
US
IV. Provider business mailing address
900 CIRCLE 75 PKWY SE STE. 900
ATLANTA GA
30339-3035
US
V. Phone/Fax
- Phone: 770-822-2166
- Fax: 770-237-2934
- Phone: 678-426-2171
- Fax: 404-446-1957
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332900000X |
| Taxonomy | Non-Pharmacy Dispensing Site |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
N
HELFMAN
Title or Position: CEO
Credential: DPM
Phone: 678-426-2171