# FOX PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** FOX PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174711170
- **Authorized official:** DENNIS TRACEY (MANG MEMBER)
- **Authorized official phone:** (678) 373-3918

## Contact information

- **Practice address:** 905 PARKSIDE WALK LN, STE 108, LAWRENCEVILLE, GA 30043-7314
- **Practice address phone:** (678) 373-3918
- **Practice address fax:** (678) 373-3921
- **Mailing address:** 905 PARKSIDE WALK LN, STE 108, LAWRENCEVILLE, GA 30043-7314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE009370 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/04/2007
- **Last updated:** 03/12/2008