National Provider Identifier Database

ATLANTA ID GROUP PC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

ATLANTA ID GROUP, P.C.
1265 HIGHWAY 54 WEST
SUITE 500-C
FAYETTEVILLE, GA30214
Phone: 678-435-3040
Fax: 678-435-3044
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for ATLANTA ID GROUP, P.C.

NPI Number 1548767619
Legal business name
LBN
ATLANTA ID GROUP, P.C.
Authorized official CHRISTINE ZURAWSKI - (CEO/PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 04/06/2018
Last updated 04/06/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: PHRE009501

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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