MEDICARE: NORTH FULTON PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912388588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH FULTON PHARMACY LLC

Provider Business Mailing Address
First Line	:	501 S MAIN ST STE 103
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30009-1975
Country	:	US
Telephone Number	:	770-751-7575
Fax Number	:	770-751-1313

Provider Business Practice Location Address
First Line	:	501 S MAIN ST STE 103
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30009-1975
Country	:	US
Telephone Number	:	770-751-7575
Fax Number	:	770-751-1313

Authorized Official
Title or Position	:	OWNER
Name	:	LEILA ESKANDARI
Credential	:
Telephone Number	:	404-259-8921

Provider Enumeration Date	:	06/09/2015
Last Update Date	:	03/27/2026

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Directions to “NORTH FULTON PHARMACY LLC ” Practice Location

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