# OLD NAT DRUGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Old Nat Long Term Care Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124715909
- **Authorized official:** DR. LINDA DAVIS PHARMD (PHARMACIST IN CHARGE)
- **Authorized official phone:** (678) 922-1211

## Contact information

- **Practice address:** 5495 OLD NATIONAL HWY STE C2, COLLEGE PARK, GA 30349-3256
- **Practice address phone:** (678) 922-1211
- **Practice address fax:** (404) 458-5962
- **Mailing address:** 5495 OLD NATIONAL HWY STE C2, COLLEGE PARK, GA 30349-3256
- **Mailing address phone:** (678) 922-1211
- **Mailing address fax:** (404) 458-5962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2023
- **Last updated:** 04/20/2023
