Organization
ATLANTA PHARMACY LLC
Active
Other names
ATLANTA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
QUYNH CHI DO (RPH)
(770) 807-7779
Entity
Organization
Contact information
Practice address
5456 JIMMY CARTER BLVD STE 160, NORCROSS, GA 30093-1548
(770) 807-7779
(770) 825-9967
Mailing address
5456 JIMMY CARTER BLVD STE 160, NORCROSS, GA 30093-1548
(770) 807-7779
(770) 825-9967
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009669
GA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003100120A
—
GA
01
—
2125976
PK
—
Enumeration date
01/04/2010
Last updated
06/16/2016
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