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Contact Information

DULUTH PHARMACY LLC
3890 PLEASANT HILL RD STE 103
DULUTH, GA30096-4807
 Phone: 770-476-2820
 Fax: 770-476-2811
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DULUTH PHARMACY LLC

NPI # 1285050823
LBN Legal business name DULUTH PHARMACY LLC
Authorized official BADRINATH JAYANTHI - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2014
Last updated 06/09/2022 - About 4 years ago
Identifiers
GA License # PHRE009996
GA Medicaid 003145071A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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