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UNIVERSITY CANCER & BLOOD CENTER LLC NPI 1376682849


NPI Information

NPI: 1376682849
Provider Name: UNIVERSITY CANCER & BLOOD CENTER, LLC

Former Legal Business Name: NORTHEAST GEORGIA CANCER CARE, LLC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
3320 OLD JEFFERSON RD
BLDG 700A
ATHENS, GA
ZIP 30607
Phone: (706) 353-4344
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UNIVERSITY CANCER & BLOOD CENTER, LLC is a community/retail pharmacy pharmacy in Athens, GA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. UNIVERSITY CANCER & BLOOD CENTER, LLC NPI is 1376682849. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Northeast Georgia Cancer Care, Llc.

The provider's business location address is:

3320 OLD JEFFERSON RD
BLDG 700A
ATHENS, GA
ZIP 30607-465
Phone: (706) 353-4344
Fax: (706) 353-4355

The provider's authorized official is Gina G Powell .
The authorized official title is Director Of Pharmacy and has the following contact phone number (706) 353-5019.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 5/19/2020.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyGEORGIAYes

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
11153054OTHERGEORGIANCPDP
2469992514BMEDICAIDGEORGIA

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: 11/14/2023

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