Provider Demographics
NPI:1871507335
Name:TRUSTEE DRUGS, INC.
Entity Type:Organization
Organization Name:TRUSTEE DRUGS, INC.
Other - Org Name:TRUSTEE DRUGS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:OHAYA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:404-366-9088
Mailing Address - Street 1:381 FOREST PKWY
Mailing Address - Street 2:
Mailing Address - City:FOREST PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30297-2165
Mailing Address - Country:US
Mailing Address - Phone:404-366-9088
Mailing Address - Fax:404-366-8982
Practice Address - Street 1:381 FOREST PKWY
Practice Address - Street 2:
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297-2165
Practice Address - Country:US
Practice Address - Phone:404-366-9088
Practice Address - Fax:404-366-8982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
GAPHRE0076903336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000576804AMedicaid
GA00576804BMedicaid
2018766OtherPK
GA00576804BMedicaid