# REXTOX CONSULTANT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RETOX HEALING HANDS PHARMACY
- **Other names:** Retox Healing Hands Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255800132
- **Legal business name:** RETOX HEALING HANDS PHARMACY
- **Authorized official:** RAPHAEL OGUNSUSI PHARMACY (OWNER)
- **Authorized official phone:** (678) 478-9511

## Contact information

- **Practice address:** 1810 HIGHWAY 20 SE STE 174, CONYERS, GA 30013-2001
- **Practice address phone:** (678) 478-9511
- **Mailing address:** 2630 WELLINGTON WAY SE, CONYERS, GA 30013-6413
- **Mailing address phone:** (678) 478-9511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/20/2018
- **Last updated:** 11/20/2018