Organization
CAREMARK, L.L.C.
Active
Other names
Caremark Georgia Specialty Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W. GOLDING (VICE PRESIDENT)
(800) 225-5967
Entity
Organization
Contact information
Practice address
1000 COBB PLACE BLVD, STE 270, KENNESAW, GA 30144-3697
(800) 548-6273
(770) 953-2136
Mailing address
PO BOX 840688, DALLAS, TX 75284-0688
(800) 225-5967
(909) 799-4364
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHRE008973
GA
333600000X
Pharmacy
PHRE008973
GA
3336S0011X
Specialty Pharmacy
Primary
PHRE008973
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7G7171
—
SC
Enumeration date
11/08/2005
Last updated
10/27/2007
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