Organization
SYNERGEN RX LLC
Active
Parent organization
SYNERGEN RX, LLC
Other names
Synergen Rx
Organization subpart
Yes
Provider details
NPI number
Legal business name
SYNERGEN RX, LLC
Authorized official
IAN CORY TOKASH MBA (VP OPERATIONS)
(404) 585-7517
Entity
Organization
Contact information
Practice address
1447 PEACHTREE ST NE STE 206, ATLANTA, GA 30309-3018
(770) 727-0443
(404) 900-9209
Mailing address
3990 FLOWERS RD STE 530, DORAVILLE, GA 30360-3195
(404) 585-7517
(404) 900-9209
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHRE10942
GEORGIA BOARD OF PHARMACY
GA
Enumeration date
06/10/2021
Last updated
06/10/2021
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