Healthcare Provider Details

I. General information

NPI: 1295174407
Provider Name (Legal Business Name): MEI SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2013
Last Update Date: 12/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2951 PIEDMONT RD NE SUITE B
ATLANTA GA
30305-2787
US

IV. Provider business mailing address

2951 PIEDMONT RD NE SUITE B
ATLANTA GA
30305-2787
US

V. Phone/Fax

Practice location:
  • Phone: 404-592-0585
  • Fax: 404-549-3034
Mailing address:
  • Phone: 404-592-0585
  • Fax: 404-549-3034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPHRE009919
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberPHRE009919
License Number StateGA

VIII. Authorized Official

Name: MICHAEL BOGACHEK
Title or Position: COO
Credential:
Phone: 404-592-0585