# EAGLE RX LLC

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

## Provider details

- **NPI number:** 1689203069
- **Authorized official:** BHAVIN MAKVANA (OWNER / MANAGER)
- **Authorized official phone:** (770) 274-4477

## Contact information

- **Practice address:** 1029 HONEY CREEK RD SE, CONYERS, GA 30013-2948
- **Practice address phone:** (570) 991-3956
- **Mailing address:** 1029 HONEY CREEK RD SE, CONYERS, GA 30013-2948

## Taxonomy

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

## Other

- **Enumeration date:** 04/07/2020
- **Last updated:** 08/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003230598A | — | GA |