# REXTOX CONSULTANT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EVANSMILL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023500501
- **Authorized official:** MR. RAPHAEL OGUNSUSI PHARMACIST (CEO)
- **Authorized official phone:** (678) 478-9511

## Contact information

- **Practice address:** 7525 COVINGTON HWY STE G, LITHONIA, GA 30058-7439
- **Practice address phone:** (678) 292-6025
- **Practice address fax:** (678) 292-6922
- **Mailing address:** 7525 COVINGTON HWY STE G, STONECREST, GA 30058-7439
- **Mailing address phone:** (678) 292-6025
- **Mailing address fax:** (678) 292-6922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE010633 | GA | Yes |

## Other

- **Enumeration date:** 05/31/2018
- **Last updated:** 08/21/2018