# PRESTIGE PHARMACY SNELLVILLE LLC

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

## Provider details

- **NPI number:** 1295278166
- **Authorized official:** AMI PATEL (MANAGING MEMBER)
- **Authorized official phone:** (678) 315-1516

## Contact information

- **Practice address:** 1551 JANMAR RD, SUITE B, SNELLVILLE, GA 30078-5606
- **Practice address phone:** (470) 735-4700
- **Practice address fax:** (470) 395-9048
- **Mailing address:** 1551 JANMAR RD, SUITE B, SNELLVILLE, GA 30078-5606
- **Mailing address phone:** (470) 735-4700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE010324 | GA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/28/2016
- **Last updated:** 03/27/2017