Organization · NPI-2

Leeland Pharmacy

Pharmacy, Long Term Care Pharmacy · Mableton, GA

NPI number1699272641
StatusActive
Last updated in NPPESApr 6, 2018

Details

NPI
1699272641
Entity type
Organization (NPI-2)
Legal business name
Leeland Pharmacy
Organization subpart
No
Enumeration date
Apr 6, 2018
Last updated
Apr 6, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336L0003X Pharmacy, Long Term Care PharmacyPHRE005933GAYes
333600000X Pharmacy––

Other names

  • Mableton Pharmacy & Uniforms (Doing Business As)

Practice location

5390 Floyd Rd Sw
Mableton, GA 30126-2216

Phone 770-948-3133 · Fax 770-948-3660

Mailing address

8612 Main St
Woodstock, GA 30188-4829

Phone 678-285-0760 · Fax 770-971-0315

Authorized official

Jonathan Marquess
Owner
7709483133

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