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Organization
MGP RX, LLC
Active
Organization
MGP RX, LLC
Active
Other names
MGP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ZEESHAN HAQ (PARTNER)
(832) 895-7125
Entity
Organization
Contact information
Practice address
1951 CANTON RD STE 290, MARIETTA, GA 30066-6300
(859) 391-4668
Mailing address
8242 ALEXANDRIA PIKE, ALEXANDRIA, KY 41001-1162
(470) 443-2268
(888) 298-6561
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Enumeration date
02/13/2019
Last updated
12/17/2019
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