# NUGEN PHARMACY LLC

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

## Provider details

- **NPI number:** 1093013591
- **Authorized official:** DR. SHREE SINGH (PRESIDENT)
- **Authorized official phone:** (334) 207-9706

## Contact information

- **Practice address:** 101 YORKTOWN DR STE 102, FAYETTEVILLE, GA 30214-1568
- **Practice address phone:** (404) 849-5154
- **Mailing address:** 2410 DEKALB MEDICAL PKWY STE F, LITHONIA, GA 30058-4100

## Taxonomy

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

## Other

- **Enumeration date:** 03/08/2011
- **Last updated:** 03/08/2011