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Organization
MED RX PHARMACY INC
Active
Organization
MED RX PHARMACY INC
Active
Other names
Med Rx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LEROY BANKS BS (CEO/PIC)
(770) 316-9815
Entity
Organization
Contact information
Practice address
4153 FLAT SHOALS PKWY STE 106, DECATUR, GA 30034-4106
(404) 243-5473
(404) 328-1327
Mailing address
4153 FLAT SHOALS PKWY STE 106, DECATUR, GA 30034-4106
(404) 243-5473
(404) 328-1327
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010274
GA
Other
Enumeration date
05/12/2015
Last updated
07/19/2018
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