# FARAH PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073265005
- **Authorized official:** SOFIA 0 FARAH (PHARMACIST)
- **Authorized official phone:** (832) 818-8187

## Contact information

- **Practice address:** 465 BOULEVARD SE STE 111A, ATLANTA, GA 30312-3482
- **Practice address phone:** (832) 818-8187
- **Mailing address:** 2554 LAKEVIEW EAST CT SE, ATLANTA, GA 30316-3440
- **Mailing address phone:** (832) 818-8187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/20/2022
- **Last updated:** 02/22/2022
