Organization
SUJU ENTERPRISE INC
Active
Other names
hana pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JA YOUNG KONGKIM (PRESIDENT)
(678) 878-2445
Entity
Organization
Contact information
Practice address
3585 PEACHTREE INDUSTRIAL BLVD STE 158, DULUTH, GA 30096-6370
(727) 667-4692
(678) 878-2446
Mailing address
3585 PEACHTREE INDUSTRIAL BLVD STE 158, DULUTH, GA 30096-6370
(727) 667-4692
(678) 878-2446
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010077
GA
Other
Enumeration date
10/14/2014
Last updated
07/22/2024
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