Provider Demographics
NPI:1982204921
Name:P2 PHARMACEUTICAL SERVICES, LLC
Entity Type:Organization
Organization Name:P2 PHARMACEUTICAL SERVICES, LLC
Other - Org Name:AKUDO HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:PEACE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:404-664-8047
Mailing Address - Street 1:1586 SAGE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-5327
Mailing Address - Country:US
Mailing Address - Phone:770-627-5194
Mailing Address - Fax:678-398-9651
Practice Address - Street 1:2744 BROAD ST
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-3200
Practice Address - Country:US
Practice Address - Phone:770-627-5194
Practice Address - Fax:678-398-9651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-28
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy