Organization
DREAM PHARMACY
Active
Other names
YOO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YOO BYUNG DOO (OWNER)
(770) 814-4515
Entity
Organization
Contact information
Practice address
1299 OLD PEACHTREE RD NW, SUWANEE, GA 30024-2028
(770) 814-4515
(770) 814-4516
Mailing address
1299 OLD PEACHTREE RD NW, SUWANEE, GA 30024-2028
(770) 814-4515
(770) 814-4516
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009122
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136348A
—
GA
01
—
2016475
PK
—
Enumeration date
02/12/2007
Last updated
06/06/2024
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