Provider Demographics
NPI:1730632829
Name:PHARMSCRIPT OF GA LLC
Entity type:Organization
Organization Name:PHARMSCRIPT OF GA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCIAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-389-1818
Mailing Address - Street 1:150 PIERCE STREET
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-0582
Mailing Address - Country:US
Mailing Address - Phone:401-241-3344
Mailing Address - Fax:888-456-2467
Practice Address - Street 1:4611 IVEY DR STE 850
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31206-8819
Practice Address - Country:US
Practice Address - Phone:908-389-1818
Practice Address - Fax:508-281-1843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0002X, 3336C0004X, 3336I0012X
GAPHRE0097793336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2162062OtherPK
GA003125493AMedicaid