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Organization
YOUNG LIFE ENTERPRISE LLC
Active
Organization
YOUNG LIFE ENTERPRISE LLC
Active
Other names
Young Life Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL YOUNG II PHARMD (PHARMACIST)
(404) 549-9671
Entity
Organization
Contact information
Practice address
1769 CANDLER RD, DECATUR, GA 30032-3276
(678) 772-8623
Mailing address
1769 CANDLER RD, DECATUR, GA 30032-3276
(404) 549-9671
(678) 974-5270
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
06/12/2017
Last updated
05/04/2025
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