Organization
SAIGON PHARMACY LLC
Active
Other names
SAIGON PHARMACARE
Organization subpart
No
Provider details
NPI number
Authorized official
LAM LE (OWNER)
(678) 765-8476
Entity
Organization
Contact information
Practice address
1165 MAIN ST, FOREST PARK, GA 30297-1443
(770) 888-2235
Mailing address
1165 MAIN ST, FOREST PARK, GA 30297-1443
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003234388A
—
GA
Enumeration date
11/11/2024
Last updated
11/11/2024
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