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PSI LLC NPI 1205828746


NPI Information

NPI: 1205828746
Provider Name: PSI, LLC

Doing Business As: ELDERCARE PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
4315 BELAIR FRONTAGE RD
AUGUSTA, GA
ZIP 30909
Phone: (888) 858-6051
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PSI, LLC is a long term care pharmacy pharmacy in Augusta, 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. PSI, LLC NPI is 1205828746. The provider is registered as an organization entity type.
The provider Is Doing Business As Eldercare Pharmacy.

The provider's business location address is:

4315 BELAIR FRONTAGE RD
AUGUSTA, GA
ZIP 30909-412
Phone: (888) 858-6051
Fax: (888) 858-6052

The provider's authorized official is James Rusty Lee .
The authorized official title is President and has the following contact phone number (478) 783-1515.

The enumeration date for this NPI number is 8/19/2005 and was last updated on 9/27/2016.


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
13336L0003XPharmacyLong Term Care PharmacyYes

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
11146415OTHERGEORGIANCPDP
200835942AMEDICAIDGEORGIA
35014690003MEDICARE NSCGEORGIA

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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