Organization
YASMIN DISCOUNT PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOZI ABDULAHI (OWNER)
(404) 963-5668
Entity
Organization
Contact information
Practice address
5231 MEMORIAL DR # S-B1, STONE MOUNTAIN, GA 30083-3153
(404) 963-5668
(404) 963-5639
Mailing address
5231 MEMORIAL DR STE B1, STONE MOUNTAIN, GA 30083-3153
(404) 963-5668
(404) 963-5639
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009367
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168353
PK
—
Enumeration date
10/26/2007
Last updated
04/04/2017
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