Provider Demographics
NPI:1700981255
Name:ALLIED PHARMACY CONSULTANTS INC
Entity Type:Organization
Organization Name:ALLIED PHARMACY CONSULTANTS INC
Other - Org Name:ALLIED PHARMACY CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RESPESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-654-1772
Mailing Address - Street 1:1845 LOCKEWAY DR
Mailing Address - Street 2:SUITE 402
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-5936
Mailing Address - Country:US
Mailing Address - Phone:770-886-2426
Mailing Address - Fax:
Practice Address - Street 1:1845 LOCKEWAY DR
Practice Address - Street 2:SUITE 402
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-5936
Practice Address - Country:US
Practice Address - Phone:770-664-2866
Practice Address - Fax:770-664-2868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
GAPHRE0080983336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000739901CMedicaid
GA000739901AMedicaid
1143813OtherNCPDP PROVIDER IDENTIFICATION NUMBER
GA000739901DMedicaid
1143813OtherNCPDP PROVIDER IDENTIFICATION NUMBER