Provider Demographics
NPI:1164986485
Name:HEALTHLINK PHARMACY LLC
Entity Type:Organization
Organization Name:HEALTHLINK PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MANISH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-703-4002
Mailing Address - Street 1:990 PEACHTREE INDUSTRIAL BLVD UNIT 1644
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-5214
Mailing Address - Country:US
Mailing Address - Phone:770-703-4002
Mailing Address - Fax:770-703-4031
Practice Address - Street 1:299 FLINT RIVER RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30238-4748
Practice Address - Country:US
Practice Address - Phone:770-703-4002
Practice Address - Fax:770-703-4031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy