# NBA PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** DAWSON PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457734410
- **Authorized official:** ASHISH PATEL (PHARMACY MANAGER)
- **Authorized official phone:** (706) 265-7193

## Contact information

- **Practice address:** 66 S 400 CENTER LN, SUITE 125, DAWSONVILLE, GA 30534-6183
- **Practice address phone:** (706) 265-3934
- **Practice address fax:** (706) 265-8463
- **Mailing address:** 310 PASATIEMPO LN, SUWANEE, GA 30024-7621
- **Mailing address phone:** (404) 234-1800
- **Mailing address fax:** (706) 265-8463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE010160 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/08/2015
- **Last updated:** 03/13/2017