Organization · NPI-2

874 Total Pharmacy LLC

Pharmacy, Community/Retail Pharmacy · Atlanta, GA

NPI number1194216697
StatusActive
Last updated in NPPESMay 28, 2019

Details

NPI
1194216697
Entity type
Organization (NPI-2)
Legal business name
874 Total Pharmacy LLC
Organization subpart
No
Enumeration date
May 21, 2018
Last updated
May 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPHRE010627GAYes
333600000X Pharmacy––

Other names

  • Total Food & Pharmacy (Doing Business As)

Practice location

874 Ralph David Abernathy Blvd Sw
Atlanta, GA 30310-1829

Phone 470-355-8584 · Fax 470-355-8593

Mailing address

Po Box 3028
Duluth, GA 30096-0052

Phone 470-355-8584

Authorized official

April Hang
Member
6783378814

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacy, Community/Retail Pharmacy providers in Atlanta, GA