Provider Demographics
NPI:1740624261
Name:FORTHRIGHT ENTERPRISES, INC
Entity type:Organization
Organization Name:FORTHRIGHT ENTERPRISES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAHNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-602-5383
Mailing Address - Street 1:1183 S HAIRSTON RD STE B
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30088-2796
Mailing Address - Country:US
Mailing Address - Phone:470-225-1433
Mailing Address - Fax:470-225-1538
Practice Address - Street 1:1183 S HAIRSTON RD STE B
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30088-2796
Practice Address - Country:US
Practice Address - Phone:470-225-1433
Practice Address - Fax:470-225-1538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-26
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0004X
GAPHRE0099493336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2141559OtherPK