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Organization
SYNERGEN RX LLC
Active
Organization
SYNERGEN RX LLC
Active
Other names
Synergen Rx
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN PERSONIUS (OWNER)
(478) 951-6066
Entity
Organization
Contact information
Practice address
3990 FLOWERS RD STE 530, DORAVILLE, GA 30360-3195
(404) 585-7517
(404) 900-9209
Mailing address
3990 FLOWERS RD STE 530, DORAVILLE, GA 30360-3195
(404) 585-7517
(404) 900-9209
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
04/18/2019
Last updated
06/18/2021
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