Organization
RXGENIUS LLC
Active
Other names
ATL Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KAZEM HAGHIR EBRAHIMABADI (OWNER)
(678) 898-6436
Entity
Organization
Contact information
Practice address
195 PEARL NIX PKWY STE 5, GAINESVILLE, GA 30501-3566
(678) 898-6436
Mailing address
195 PEARL NIX PKWY STE 5, GAINESVILLE, GA 30501-3566
(678) 898-6436
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003315086A
—
GA
Enumeration date
07/24/2024
Last updated
11/22/2024
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