Organization
PHARMACEUTICAL SPECIALTIES INC
Active
Other names
PSI
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE WILLIAMS BS PHARMACY (PHARMACIST)
(800) 818-6486
Entity
Organization
Contact information
Practice address
958 MCEVER RD, SUITE B-8, GAINESVILLE, GA 30504-3972
(800) 818-6486
(800) 818-6490
Mailing address
150 CLEVELAND RD, SUITE A, BOGART, GA 30622-1701
(706) 369-9591
(706) 369-9698
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009506
GA
3336C0004X
Compounding Pharmacy
10257
NC
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116901
—
NC
01
—
1157848
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
1275785743
—
GA
Enumeration date
10/16/2008
Last updated
05/12/2010
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