# PEMANA ENTERPRISES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** N. Broad Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952718991
- **Authorized official:** NANCY PATEL (OWNER)
- **Authorized official phone:** (404) 754-9551

## Contact information

- **Practice address:** 1421 N BROAD ST NE, ROME, GA 30161-5215
- **Practice address phone:** (770) 837-2512
- **Mailing address:** 183 RAVENWOOD DR SE, ROME, GA 30161-3543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE010051 | GA | Yes |

## Other

- **Enumeration date:** 07/22/2014
- **Last updated:** 07/22/2014