# PHARMADOOR RX LLC

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

## Provider details

- **NPI number:** 1730321316
- **Authorized official:** MRS. LEVETTE FLEMING RPH (PHARMACY DIRECTOR)
- **Authorized official phone:** (404) 452-4101

## Contact information

- **Practice address:** 2945 BUFORD HWY NE, SUITE P, ATLANTA, GA 30329-1834
- **Practice address phone:** (770) 322-3420
- **Practice address fax:** (770) 922-9501
- **Mailing address:** 151 MILAM DR, ELLENWOOD, GA 30294-2975
- **Mailing address phone:** (404) 452-4101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 18553 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | 18553 | GA | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336M0002X | Mail Order Pharmacy | 008598 | SC | — |

## Other

- **Enumeration date:** 03/29/2009
- **Last updated:** 03/29/2009