Organization
RUBY PLAZA INC
Active
Other names
ruby healthmart pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAJIB ULLAH (PRESIDENT)
(770) 394-5700
Entity
Organization
Contact information
Practice address
5020 WINTERS CHAPEL RD STE B, DUNWOODY, GA 30360-1735
(770) 394-5700
(770) 394-5772
Mailing address
5020 WINTERS CHAPEL RD STE B, DUNWOODY, GA 30360-1735
(770) 394-5700
(770) 394-5772
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009622
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1159462
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/22/2009
Last updated
12/22/2009
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