MEDICARE: PHARMACEUTICAL SPECIALTIES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336S0011X	Specialty Pharmacy
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	PHHH000064	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2019543	OTHER		PK

General Provider Information

NPI Number	:	1265464705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACEUTICAL SPECIALTIES LLC

Provider Business Mailing Address
First Line	:	320 S POLK ST STE 800
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79101-1429
Country	:	US
Telephone Number	:	806-242-7782
Fax Number	:	806-324-5495

Provider Business Practice Location Address
First Line	:	150 CLEVELAND RD
Second Line	:	STE A
City	:	BOGART
State	:	GA
Zip	:	30622-1701
Country	:	US
Telephone Number	:	706-369-9591
Fax Number	:	706-369-9698

Authorized Official
Title or Position	:	PRESIDENT, PHARMACY SERVICES
Name	:	JOEL WRIGHT
Credential	:
Telephone Number	:	806-242-7782

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	02/12/2026

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Directions to “PHARMACEUTICAL SPECIALTIES LLC ” Practice Location

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