Healthcare Provider Details

I. General information

NPI: 1689052326
Provider Name (Legal Business Name): PHARMWORKS GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2015
Last Update Date: 05/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 MEMORIAL DR SE
ATLANTA GA
30317
US

IV. Provider business mailing address

PO BOX 3028
DULUTH GA
30096-0052
US

V. Phone/Fax

Practice location:
  • Phone: 678-973-0402
  • Fax: 678-973-0376
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. APRIL HANG
Title or Position: MEMBER
Credential: PHARM.D
Phone: 678-973-0402