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NPI Code Detail

MEDICARE: MANAGED HEALTH SOLUTIONS LLC

MEDICARE: MANAGED HEALTH SOLUTIONS 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
13336L0003XLong Term Care PharmacyPHRE010082GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12149258OTHERPK

General Provider Information

NPI Number : 1720012537
Entity Type Code : Organization
Provider Name (Legal Business Name) : MANAGED HEALTH SOLUTIONS LLC
Provider Business Mailing Address
First Line : 8612 MAIN ST
Second Line :
City : WOODSTOCK
State : GA
Zip : 30188-4829
Country : US
Telephone Number : 770-496-5314
Fax Number : 770-496-7445
Provider Business Practice Location Address
First Line : 3070 BUSINESS PARK DR STE A
Second Line :
City : NORCROSS
State : GA
Zip : 30071-1428
Country : US
Telephone Number : 770-496-5314
Fax Number : 770-496-7445
Authorized Official
Title or Position : PHARMACIST
Name : PAM MARQUESS
Credential : PHARMD
Telephone Number : 678-463-9598
Provider Enumeration Date : 07/10/2006
Last Update Date : 02/16/2015

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Directions to “MANAGED HEALTH SOLUTIONS LLC ” Practice Location

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