Organization
PLATINUM PHARMACY LLC
Active
Other names
PLATINUM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL OBICHI (OWNER)
(404) 822-4505
Entity
Organization
Contact information
Practice address
935 LANIER AVE W STE 1008, FAYETTEVILLE, GA 30214-7434
(404) 902-5811
(678) 519-3115
Mailing address
935 LANIER AVE W STE 1008, FAYETTEVILLE, GA 30214-7434
(404) 902-5811
(678) 519-3115
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003212737A
—
GA
Enumeration date
10/01/2018
Last updated
07/10/2025
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