Organization
PRUITTHEALTH PHARMACY SERVICES - ATLANTA, INC.
Active
Other names
PruittHealth Pharmacy Services - Atlanta
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL L. PRUITT JR. (CHAIRMAN AND CEO)
(770) 279-6200
Entity
Organization
Contact information
Practice address
1626 JEURGENS CT, SUITE A, NORCROSS, GA 30093-2219
(678) 533-6459
(770) 931-5253
Mailing address
1626 JEURGENS CT, SUITE A, NORCROSS, GA 30093-2219
(678) 533-6459
(770) 931-5253
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295907416A
—
GA
Enumeration date
02/20/2007
Last updated
09/23/2021
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