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GAYCO HEALTHCARE NORTH LLC NPI 1134564461


NPI Information

NPI: 1134564461
Provider Name: GAYCO HEALTHCARE NORTH LLC

Doing Business As: GAYCO HEALTHCARE - NORTH

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
11800 WILLS RD
SUITE 150
ALPHARETTA, GA
ZIP 30009
Phone: (770) 495-2950
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GAYCO HEALTHCARE NORTH LLC is a long term care pharmacy pharmacy in Alpharetta, GA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GAYCO HEALTHCARE NORTH LLC NPI is 1134564461. The provider is registered as an organization entity type.
The provider Is Doing Business As Gayco Healthcare - North.

The provider's business location address is:

11800 WILLS RD
SUITE 150
ALPHARETTA, GA
ZIP 30009-079
Phone: (770) 495-2950
Fax: (855) 568-9477

The provider's authorized official is Bent Gay .
The authorized official title is Managing Member and has the following contact phone number (478) 272-8093.

The enumeration date for this NPI number is 4/30/2013 and was last updated on 6/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyPHRE010193GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12154669OTHERPK
2003136467AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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