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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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