Organization
PRIME PHARMACEUTICALS AND COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AREZOO AKHAVAN RPH (NEW OWNER/PIC)
(404) 642-1818
Entity
Organization
Contact information
Practice address
5505 PEACHTREE DUNWOODY RD NE, SUITE G-95, ATLANTA, GA 30342
(404) 250-9656
(404) 250-9226
Mailing address
5505 PEACHTREE DUNWOODY RD STE G95, ATLANTA, GA 30342-1758
(404) 250-9656
(404) 250-9226
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00322858-B
—
GA
Enumeration date
07/27/2006
Last updated
11/24/2023
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