Organization
ASSURERX CSP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHARMESHKUMAR PATEL (OFFICER IN CHARGE OF LICENSING)
(770) 864-5998
Entity
Organization
Contact information
Practice address
775 GODDARD CT, ALPHARETTA, GA 30005-2263
(770) 864-5998
Mailing address
775 GODDARD CT, ALPHARETTA, GA 30005-2263
(770) 864-5998
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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