Organization
LYHKA5 LLC
Active
Other names
Anna's Duluth Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA N TRAN PHARM D. (OWNER)
(678) 622-9234
Entity
Organization
Contact information
Practice address
4470 SATELLITE BLVD STE 108, DULUTH, GA 30096-8852
(470) 268-8922
Mailing address
4470 SATELLITE BLVD STE 108, DULUTH, GA 30096-8852
(470) 268-8922
(470) 268-8927
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHRE010287
GA
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010287
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003176035A
—
GA
Enumeration date
04/22/2016
Last updated
01/31/2024
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