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Organization
DIVYO HEALTH SOLUTIONS, INC. - STORE #2
Active
Organization
DIVYO HEALTH SOLUTIONS, INC. - STORE #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY RAYFUS (OFFICER)
(855) 675-5200
Entity
Organization
Contact information
Practice address
1100 OLD ELLIS ROAD, SUITE 100, ROSWELL, GA 30076
(855) 675-5200
Mailing address
1100 OLD ELLIS ROAD, SUITE 100, ROSWELL, GA 30076
(855) 675-5200
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
09/04/2026
Last updated
09/04/2026
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