Organization
YOUNG LIFE ENTERPRISE LLC
Active
Other names
Young Life Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL YOUNG II PHARMD (PHARMACIST)
(404) 549-9671
Entity
Organization
Contact information
Practice address
1769 CANDLER RD, DECATUR, GA 30032-3276
(678) 772-8623
Mailing address
1769 CANDLER RD, DECATUR, GA 30032-3276
(404) 549-9671
(678) 974-5270
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
06/12/2017
Last updated
05/04/2025
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