Organization · NPI-2

Outreach Pharmacy LLC

Pharmacy, Community/Retail Pharmacy · Lilburn, GA

NPI number1700703121

StatusActive

Last updated in NPPESJul 13, 2026

Details

NPI: 1700703121
Entity type: Organization (NPI-2)
Legal business name: Outreach Pharmacy LLC
Organization subpart: No
Enumeration date: Jul 6, 2026
Certification date: Jul 13, 2026
Last updated: Jul 13, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
3336C0003X	Pharmacy, Community/Retail Pharmacy	–	–	Yes

Practice location

470 Pleasant Hill Rd Nw Unit A
Lilburn, GA 30047-2734

Phone 678-951-8231

Mailing address

2941 Phillips Ct
Marietta, GA 30068-3161

Phone 682-551-2004

Authorized official

Christina Nguyen
Organizer
6825516702

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