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General NPI Number Information
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NPI Number | 1730632829
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Entity Type | Organization
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Legal Business Name | PHARMSCRIPT OF GA LLC
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Dates
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Enumeration Date | 07/26/2016
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 4611 IVEY DR STE 850
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City | MACON
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State | GA
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Zip | 31206-8819
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Country | US
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Telephone | 908-389-1818
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Fax | 508-281-1843
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Provider Business Mailing Address
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Address Line | 150 PIERCE STREET
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City | SOMERSET
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State | NJ
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Zip | 08873-0582
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Country | US
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Telephone | 401-241-3344
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Fax | 888-456-2467
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Authorized Official
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Title or Position | VP OF FINANCIAL OPERATIONS
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Name | CHANA HOFF
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Credential |
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Telephone | 908-389-1818
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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 | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHRE009779
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License Number State | GA
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