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General NPI Number Information
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NPI Number | 1235800277
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Entity Type | Organization
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Legal Business Name | PERIMETER SPECIALTY PHARMACY, LLC
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 10/19/2021
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Provider Practice Location Address
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Address Line | 5671 PEACHTREE DUNWOODY RD STE 225
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City | ATLANTA
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State | GA
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Zip | 30342-5067
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Country | US
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Telephone | 470-750-0700
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Fax | 470-276-7131
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Provider Business Mailing Address
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Address Line | 5671 PEACHTREE DUNWOODY RD STE 225
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City | ATLANTA
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State | GA
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Zip | 30342-5067
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Country | US
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Telephone | 470-750-0700
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. CHANDNI BHAKTA
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Credential | PHARMD
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Telephone | 361-522-2201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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