Organization
EAGLE RX LLC
Active
Other names
EAGLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVIN MAKVANA (OWNER / MANAGER)
(770) 274-4477
Entity
Organization
Contact information
Practice address
1029 HONEY CREEK RD SE, CONYERS, GA 30013-2948
(570) 991-3956
Mailing address
1029 HONEY CREEK RD SE, CONYERS, GA 30013-2948
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003230598A
—
GA
Enumeration date
04/07/2020
Last updated
08/06/2024
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