# GAYCO HEALTHCARE NORTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gayco Healthcare - North
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134564461
- **Authorized official:** BENT GAY RPH (CEO)
- **Authorized official phone:** (478) 353-1579

## Contact information

- **Practice address:** 11800 WILLS RD, SUITE 150, ALPHARETTA, GA 30009-2079
- **Practice address phone:** (770) 495-2950
- **Practice address fax:** (855) 568-9477
- **Mailing address:** 507 INDUSTRIAL BLVD, DUBLIN, GA 31021-1714
- **Mailing address phone:** (770) 495-2950
- **Mailing address fax:** (855) 568-9477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PHRE010193 | GA | Yes |

## Other

- **Enumeration date:** 04/30/2013
- **Last updated:** 11/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003136467A | — | GA |
| 01 | — | 2154669 | PK | — |