# REDAN COMMUNITY PHARMACY LLC

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

## Provider details

- **NPI number:** 1699393173
- **Authorized official:** DR. MOHAMED ADAN PHARMD (PHARMACIST IN CHARGE)
- **Authorized official phone:** (678) 467-7844

## Contact information

- **Practice address:** 4108 REDAN RD STE A, STONE MOUNTAIN, GA 30083-5070
- **Practice address phone:** (678) 467-7844
- **Mailing address:** 4108 REDAN RD STE A, STONE MOUNTAIN, GA 30083-5070
- **Mailing address phone:** (678) 467-7844

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2020
- **Last updated:** 07/10/2020