Allstate Pharmaceuticals LLC
Organization Active NPI Community/Retail Pharmacy · Stone Mountain, GA
NPI 1487893285 · NPPES record last updated Jan 5, 2010
Key facts
- NPI
- 1487893285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHRE009590 (GA)
- Legal business name
- ALLSTATE PHARMACEUTICALS LLC
- Practice address
- 1940 Parker CT
Suite D
Stone Mountain, GA 30087-6400 - Phone
- (770) 978-7400
- Fax
- (770) 978-7402
- NPI assigned
- Feb 18, 2009
- Organization subpart
- No
Authorized official
- Name
- Ted Willis
- Title
- Director
- Phone
- (770) 978-7400
National Provider Directory
Locations
1940 Parker Ct
Ste D
Stone Mtn, GA 30087
Phone (770) 978-7400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHRE009590 | GA | Yes |
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X |
Addresses
Primary practice location
1940 Parker CT
Suite D
Stone Mountain, GA 30087-6400
Mailing address
1940 Parker CT
Suite D
Stone Mountain, GA 30087-6400
Phone (770) 978-7400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1158927 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- AllState Pharmacy
Other providers in Stone Mountain, GA
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- Diana Lorraine Allen
- Heather Allen
- Leslie Allen
- Terrica Allen
- Jasmine Alphabet
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- Kyle Otis Alvin
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- Tavon Amaya
All providers in Stone Mountain, GA · Community/Retail Pharmacy in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.