Organization
SPECTRUM HEALTHCARE SOLUTIONS LLC
Active
Other names
Spectrum Healthcare Solutions LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR JEMISON (PRESIDENT/CEO)
(678) 344-0148
Entity
Organization
Contact information
Practice address
3151 LENORA CHURCH RD, SUITE 600, SNELLVILLE, GA 30039-4818
(678) 344-0148
(888) 559-9575
Mailing address
3151 LENORA CHURCH RD, SUITE 600, SNELLVILLE, GA 30039-4818
(678) 344-0148
(888) 559-9575
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009695
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1160376
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/27/2010
Last updated
11/30/2010
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