# AMERIGEN RX

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

## Provider details

- **NPI number:** 1790375772
- **Authorized official:** VU HOANG (MANAGER)
- **Authorized official phone:** (404) 941-7575

## Contact information

- **Practice address:** 1001 VIRGINIA AVE STE 360, HAPEVILLE, GA 30354-1367
- **Practice address phone:** (404) 941-7575
- **Practice address fax:** (404) 941-7167
- **Mailing address:** 1001 VIRGINIA AVE STE 360, HAPEVILLE, GA 30354-1367
- **Mailing address phone:** (404) 941-7575
- **Mailing address fax:** (404) 941-7167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336M0003X | Managed Care Organization Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/22/2021
- **Last updated:** 05/18/2022