Provider Demographics
NPI:1205145778
Name:A & N HEALTHCARE CONSULTING GROUP, LLC
Entity type:Organization
Organization Name:A & N HEALTHCARE CONSULTING GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:LAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:678-731-7307
Mailing Address - Street 1:3809 BAXLEY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4503
Mailing Address - Country:US
Mailing Address - Phone:678-731-7307
Mailing Address - Fax:678-731-7744
Practice Address - Street 1:3809 BAXLEY RIDGE DR
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-4503
Practice Address - Country:US
Practice Address - Phone:678-731-7307
Practice Address - Fax:678-731-7744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-01
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA646511835P0018X
TX498461835P0018X
GARPH0269491835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty