Provider Demographics
NPI:1295125193
Name:GOD'S MERCY,LLC
Entity type:Organization
Organization Name:GOD'S MERCY,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADENIKE
Authorized Official - Middle Name:OKUNLOLA
Authorized Official - Last Name:AGBE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:404-454-5923
Mailing Address - Street 1:2051 METROPOLITAN PKWY SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30315-5926
Mailing Address - Country:US
Mailing Address - Phone:404-565-2351
Mailing Address - Fax:
Practice Address - Street 1:2051 METROPOLITAN PKWY SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30315-5926
Practice Address - Country:US
Practice Address - Phone:404-565-2351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-29
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies