Organization
PRIME RX PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNSON SORTI BESONG (OWNER)
(404) 358-0620
Entity
Organization
Contact information
Practice address
1500 MOUNT ZION RD, SUITE 104, MORROW, GA 30260-4155
(770) 968-3444
(770) 968-3666
Mailing address
1500 MOUNT ZION RD, SUITE 104, MORROW, GA 30260-4155
(770) 968-3444
(770) 968-3666
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009963
GA
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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