# PRUITTHEALTH PHARMACY SERVICES - ATLANTA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PruittHealth Pharmacy Services - Atlanta
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346385333
- **Authorized official:** NEIL L. PRUITT JR. (CHAIRMAN AND CEO)
- **Authorized official phone:** (770) 279-6200

## Contact information

- **Practice address:** 1626 JEURGENS CT, SUITE A, NORCROSS, GA 30093-2219
- **Practice address phone:** (678) 533-6459
- **Practice address fax:** (770) 931-5253
- **Mailing address:** 1626 JEURGENS CT, SUITE A, NORCROSS, GA 30093-2219
- **Mailing address phone:** (678) 533-6459
- **Mailing address fax:** (770) 931-5253

## Taxonomy

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

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 09/23/2021