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Organization
DULUTH PHARMACY LLC
Active
Organization
DULUTH PHARMACY LLC
Active
Other names
Duluth pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BADRINATH JAYANTHI (PHARMACIST)
(678) 254-9200
Entity
Organization
Contact information
Practice address
3890 PLEASANT HILL RD STE 103, DULUTH, GA 30096-4807
(770) 476-2820
(770) 476-2811
Mailing address
3890 PLEASANT HILL RD STE 101B, DULUTH, GA 30096-4807
(177) 047-6282
(770) 476-2811
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009996
GA
3336C0004X
Compounding Pharmacy
—
NULL
Other
Enumeration date
03/06/2014
Last updated
06/09/2022
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