Organization
NBA PHARMACY LLC
Active
Other names
DAWSON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ASHISH PATEL (PHARMACY MANAGER)
(706) 265-7193
Entity
Organization
Contact information
Practice address
66 S 400 CENTER LN, SUITE 125, DAWSONVILLE, GA 30534-6183
(706) 265-3934
(706) 265-8463
Mailing address
310 PASATIEMPO LN, SUWANEE, GA 30024-7621
(404) 234-1800
(706) 265-8463
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010160
GA
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003168970A
—
GA
01
—
2152987
PK
—
Enumeration date
07/08/2015
Last updated
03/13/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up