Organization
PHARMADOOR RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEVETTE FLEMING RPH (PHARMACY DIRECTOR)
(404) 452-4101
Entity
Organization
Contact information
Practice address
2945 BUFORD HWY NE, SUITE P, ATLANTA, GA 30329-1834
(770) 322-3420
(770) 922-9501
Mailing address
151 MILAM DR, ELLENWOOD, GA 30294-2975
(404) 452-4101
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
18553
GA
3336C0003X
Community/Retail Pharmacy
Primary
18553
GA
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
008598
SC
Other
Enumeration date
03/29/2009
Last updated
03/29/2009
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