Organization
OH FAMILY MEDICINE GROUP LLC
Active
Other names
OH Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIN HWAN OH PHARM.D. (PHARMACIST)
(470) 223-4775
Entity
Organization
Contact information
Practice address
10820 ABBOTTS BRIDGE RD STE 240, JOHNS CREEK, GA 30097-5783
(470) 223-4775
(470) 223-4790
Mailing address
10820 ABBOTTS BRIDGE RD STE 240, JOHNS CREEK, GA 30097-5783
(470) 223-4775
(470) 223-4790
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010191
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003168809A
—
GA
01
—
2154813
PK
—
Enumeration date
06/05/2015
Last updated
05/13/2021
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