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Organization
MEDLOCK PHARMACY LLC
Active
Organization
MEDLOCK PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA USTA (OWNER)
(678) 691-1375
Entity
Organization
Contact information
Practice address
11035 MEDLOCK BRIDGE RD STE 40, JOHNS CREEK, GA 30097-1981
(678) 691-1375
(800) 805-4561
Mailing address
11035 MEDLOCK BRIDGE RD STE 40, JOHNS CREEK, GA 30097-1981
(678) 691-1375
(800) 805-4561
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
03/17/2025
Last updated
05/06/2026
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