Provider Demographics
NPI:1912388588
Name:NORTH FULTON PHARMACY LLC
Entity Type:Organization
Organization Name:NORTH FULTON PHARMACY LLC
Other - Org Name:NORTH FULTON PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESKANDARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-259-8921
Mailing Address - Street 1:501 S MAIN ST STE 103
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-1975
Mailing Address - Country:US
Mailing Address - Phone:770-751-7575
Mailing Address - Fax:770-751-1313
Practice Address - Street 1:501 S MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-1975
Practice Address - Country:US
Practice Address - Phone:770-751-7575
Practice Address - Fax:770-751-1313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy