Organization
SUJU ENTERPRISE INC.
Active
Other names
Hana Plus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JA YOUNG KONGKIM (OWNER)
(770) 828-7576
Entity
Organization
Contact information
Practice address
3585 PEACHTREE INDUSTRIAL BLVD STE 158, DULUTH, GA 30096-6370
(770) 828-7576
(678) 878-2446
Mailing address
3585 PEACHTREE INDUSTRIAL BLVD STE 158, DULUTH, GA 30096-6370
(770) 828-7576
(678) 878-2446
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010262
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157893
PK
—
Enumeration date
02/03/2016
Last updated
07/24/2024
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