Organization
BEN HILL PHARMACY INC.
Active
Other names
Ben Hill Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS SAO JUSU RPH (OWNER)
(404) 565-0252
Entity
Organization
Contact information
Practice address
3740 CAMPBELLTON RD SW, ATLANTA, GA 30331-5222
(404) 565-0252
(404) 343-1922
Mailing address
4141 BROOKS MILL DR, LITHONIA, GA 30038-4144
(404) 565-0252
(404) 343-1922
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010429
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003207176A
—
GA
01
—
2175975
PK
—
Enumeration date
02/22/2018
Last updated
12/21/2018
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