Organization · NPI-2

Mas Pharmacy And Compounding Lab LLC

Pharmacy, Community/Retail Pharmacy · Mableton, GA

NPI number1235318189
StatusActive
Last updated in NPPESApr 8, 2008

Details

NPI
1235318189
Entity type
Organization (NPI-2)
Legal business name
Mas Pharmacy And Compounding Lab LLC
Organization subpart
No
Enumeration date
Oct 29, 2007
Last updated
Apr 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPHRE009151GAYes
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Mas Pharmacy And Compounding Lab LLC (Doing Business As)

Practice location

705 S Gordon Rd Sw
Ste A
Mableton, GA 30126-5138

Phone 770-732-9342 · Fax 770-732-9347

Mailing address

705 S Gordon Rd Sw
Ste A
Mableton, GA 30126-5138

Authorized official

Vera Moumah
President
7707329342

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