# PIEDMONT DIRECT PHARMACY LLC

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

## Provider details

- **NPI number:** 1134712763
- **Authorized official:** JENNIFER STOREY HARBIN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (706) 660-2877

## Contact information

- **Practice address:** 190 BEN BURTON CIR, BOGART, GA 30622-1790
- **Practice address phone:** (833) 551-2024
- **Practice address fax:** (833) 439-0010
- **Mailing address:** 190 BEN BURTON CIR, BOGART, GA 30622-1790
- **Mailing address phone:** (833) 551-2024
- **Mailing address fax:** (833) 439-0010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/15/2021
- **Last updated:** 04/15/2026