Provider Demographics
NPI:1528852845
Name:BALL GROUND PHARMACY LTC
Entity type:Organization
Organization Name:BALL GROUND PHARMACY LTC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-735-6161
Mailing Address - Street 1:470 VALLEY ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BALL GROUND
Mailing Address - State:GA
Mailing Address - Zip Code:30107-4068
Mailing Address - Country:US
Mailing Address - Phone:770-735-6161
Mailing Address - Fax:770-735-6925
Practice Address - Street 1:470 VALLEY ST STE 100
Practice Address - Street 2:
Practice Address - City:BALL GROUND
Practice Address - State:GA
Practice Address - Zip Code:30107-4068
Practice Address - Country:US
Practice Address - Phone:770-735-6161
Practice Address - Fax:770-735-6925
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BALL GROUND PHARMACY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy