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	3336C0003X	Community/Retail Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	3336S0011X	Specialty Pharmacy	PHHH000053	GA

General Provider Information

NPI Number	:	1932630126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACEUTICAL SPECIALTIES LLC

Provider Business Mailing Address
First Line	:	PO BOX 1353
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79105-1353
Country	:	US
Telephone Number	:	806-242-7782
Fax Number	:	706-621-7263

Provider Business Practice Location Address
First Line	:	150 CLEVELAND RD STE B
Second Line	:
City	:	BOGART
State	:	GA
Zip	:	30622-1701
Country	:	US
Telephone Number	:	800-818-6486
Fax Number	:	706-621-7263

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

Provider Enumeration Date	:	03/21/2017
Last Update Date	:	02/08/2026

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Directions to “PHARMACEUTICAL SPECIALTIES LLC ” Practice Location

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