Organization
SIP INVESTMENTS LLC
Active
Other names
Healthmart Pharmacy of Johns Creek
Organization subpart
No
Provider details
NPI number
Authorized official
VIMAL PARAG (PRESIDENT)
(678) 756-0165
Entity
Organization
Contact information
Practice address
6375 MCGINNIS FERRY RD STE 102, ALPHARETTA, GA 30005-3669
(678) 869-6000
(678) 869-6002
Mailing address
6375 MCGINNIS FERRY RD, SUITE 102, ALPHARETTA, GA 30005-3617
(678) 869-6000
(678) 869-6002
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
114322
AL
3336C0004X
Compounding Pharmacy
PHRE009662
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125987
PK
—
05
—
224191401A
—
GA
Enumeration date
07/28/2010
Last updated
04/03/2014
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