# YOUNG LIFE ENTERPRISE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Young Life Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922537000
- **Authorized official:** DR. SAMUEL YOUNG II PHARMD (PHARMACIST)
- **Authorized official phone:** (404) 549-9671

## Contact information

- **Practice address:** 1769 CANDLER RD, DECATUR, GA 30032-3276
- **Practice address phone:** (678) 772-8623
- **Mailing address:** 1769 CANDLER RD, DECATUR, GA 30032-3276
- **Mailing address phone:** (404) 549-9671
- **Mailing address fax:** (678) 974-5270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/12/2017
- **Last updated:** 05/04/2025