Organization
GANESHA RX CARE GROUP 2, LLC
Active
Other names
PEOPLE'S PHARMACY OF DECATUR
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MUKESH PATEL (OWNER)
(770) 637-7600
Entity
Organization
Contact information
Practice address
2496 COLUMBIA DR STE A, DECATUR, GA 30034-1769
(770) 637-7600
Mailing address
661 VENDELLA CIR, MCDONOUGH, GA 30253-7107
(770) 637-7600
(770) 637-7602
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003201163A
—
GA
Enumeration date
08/21/2017
Last updated
11/17/2022
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