Organization
BRANDEDMED RX LLC
Active
Other names
BrandedMed Rx
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVIER VACA LUNA (OWNER)
(801) 400-8773
Entity
Organization
Contact information
Practice address
4150 OLD MILTON PKWY # 113-114, ALPHARETTA, GA 30005-3734
(801) 400-8773
Mailing address
4150 OLD MILTON PKWY # 113-114, ALPHARETTA, GA 30005-3734
(801) 400-8773
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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