Provider Demographics
NPI:1295966893
Name:GLOBAL PHARMACY & MEDICAL SUPPLIES, LLC
Entity type:Organization
Organization Name:GLOBAL PHARMACY & MEDICAL SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FOSTER
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-993-3824
Mailing Address - Street 1:4575 STONEGATE INDUSTRIAL BLVD
Mailing Address - Street 2:SUITE F
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-1924
Mailing Address - Country:US
Mailing Address - Phone:404-856-3791
Mailing Address - Fax:404-856-3793
Practice Address - Street 1:4575 STONEGATE INDUSTRIAL BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-1924
Practice Address - Country:US
Practice Address - Phone:404-856-3791
Practice Address - Fax:404-856-3793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies