Healthcare Provider Details

I. General information

NPI: 1912317660
Provider Name (Legal Business Name): MS-RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2014
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 DOWNWOOD CIR NW STE 430A
ATLANTA GA
30327-1659
US

IV. Provider business mailing address

3200 DOWNWOOD CIR NW SUITE 430A
ATLANTA GA
30327-1610
US

V. Phone/Fax

Practice location:
  • Phone: 404-856-4810
  • Fax: 404-351-4395
Mailing address:
  • Phone: 404-856-4810
  • Fax: 404-351-4395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHRE010009
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH29446
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number05826
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number13166
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number17168
License Number StateSC

VIII. Authorized Official

Name: NANCY ROSS
Title or Position: DIRECTOR OF PHARMACY
Credential: PHARMD
Phone: 404-856-4810