Organization
FOX PHARMACY LLC
Active
Other names
FOX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS TRACEY (MANG MEMBER)
(678) 373-3918
Entity
Organization
Contact information
Practice address
905 PARKSIDE WALK LN, STE 108, LAWRENCEVILLE, GA 30043-7314
(678) 373-3918
(678) 373-3921
Mailing address
905 PARKSIDE WALK LN, STE 108, LAWRENCEVILLE, GA 30043-7314
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009370
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1156389
OTHER ID NUMBER
—
Enumeration date
10/04/2007
Last updated
03/12/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up