Divyo Health Solutions, INC. - Store #2
Pharmacy, Compounding Pharmacy in Roswell, GA. Organization (NPI-2).
NPI number1902715923
StatusActive
Last updated in NPPESSep 4, 2026
Details
- NPI
- 1902715923
- Entity type
- Organization (NPI-2)
- Legal business name
- Divyo Health Solutions, INC. - Store #2
- Organization subpart
- No
- Enumeration date
- Sep 4, 2026
- Certification date
- Sep 4, 2026
- Last updated
- Sep 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Practice location
1100 Old Ellis RoadSuite 100
Roswell, GA 30076
Phone 855-675-5200
Mailing address
1100 Old Ellis RoadSuite 100
Roswell, GA 30076
Phone 855-675-5200
Authorized official
Tony Rayfus
Officer
8556755200
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