Healthcare Provider Details

I. General information

NPI: 1013764646
Provider Name (Legal Business Name): ARES RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2024
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1944 WALTON WAY STE C
AUGUSTA GA
30904-6711
US

IV. Provider business mailing address

1944 WALTON WAY STE C
AUGUSTA GA
30904-6711
US

V. Phone/Fax

Practice location:
  • Phone: 386-292-9441
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ANJALI PATEL
Title or Position: GENERAL COUNSEL
Credential: PHARMD.
Phone: 706-287-2700