Provider Demographics
NPI:1457833865
Name:GEORGIA PHARMACY LLC
Entity Type:Organization
Organization Name:GEORGIA PHARMACY LLC
Other - Org Name:PEACH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-620-3811
Mailing Address - Street 1:6033 HILLANDALE DR. STE B
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058
Mailing Address - Country:US
Mailing Address - Phone:678-620-3811
Mailing Address - Fax:678-691-3566
Practice Address - Street 1:6033 HILLANDALE DR.
Practice Address - Street 2:STE B
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-4806
Practice Address - Country:US
Practice Address - Phone:678-787-9962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-31
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy