# TRUDAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eastside Family Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164839577
- **Authorized official:** MRS. MICHELE DUKE DALTON (OWNER)
- **Authorized official phone:** (770) 807-0137

## Contact information

- **Practice address:** 1795 PRESIDENTIAL CIR, SNELLVILLE, GA 30078-5644
- **Practice address phone:** (770) 807-0137
- **Practice address fax:** (770) 696-9374
- **Mailing address:** 3896 RIVERBANK DR SW, LILBURN, GA 30047-2587
- **Mailing address phone:** (404) 642-8578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE010050 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/17/2014
- **Last updated:** 07/31/2014