# BEACON PHARMACY, LLC

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

## Provider details

- **NPI number:** 1528200136
- **Authorized official:** EDITH A ROSATO (CEO)
- **Authorized official phone:** (770) 518-8272

## Contact information

- **Practice address:** 8607 ROBERTS DR STE 150-B, SANDY SPRINGS, GA 30350-2238
- **Practice address phone:** (770) 709-0124
- **Mailing address:** 8607 ROBERTS DR STE 150-B, SANDY SPRINGS, GA 30350-2238
- **Mailing address phone:** (770) 709-0124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE009571 | GA | Yes |

## Other

- **Enumeration date:** 03/27/2009
- **Last updated:** 06/05/2020