Healthcare Provider Details

I. General information

NPI: 1871507335
Provider Name (Legal Business Name): TRUSTEE DRUGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 01/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

381 FOREST PKWY
FOREST PARK GA
30297-2165
US

IV. Provider business mailing address

381 FOREST PKWY
FOREST PARK GA
30297-2165
US

V. Phone/Fax

Practice location:
  • Phone: 404-366-9088
  • Fax: 404-366-8982
Mailing address:
  • Phone: 404-366-9088
  • Fax: 404-366-8982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHRE007690
License Number StateGA

VIII. Authorized Official

Name: JUDE OHAYA
Title or Position: PRESIDENT
Credential: PHARM D
Phone: 404-366-9088