Healthcare Provider Details

I. General information

NPI: 1144761925
Provider Name (Legal Business Name): BENZERPHARMACYATHENS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2017
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 LAWRENCEVILLE SUWANEE RD STE 1540
LAWRENCEVILLE GA
30043-7344
US

IV. Provider business mailing address

755 LAWRENCEVILLE SUWANEE RD STE 1540
LAWRENCEVILLE GA
30043-7344
US

V. Phone/Fax

Practice location:
  • Phone: 706-510-4040
  • Fax: 706-612-7072
Mailing address:
  • Phone: 706-510-4040
  • Fax: 706-612-7072

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 Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SARITA SONANI
Title or Position: MANAGING MEMBER
Credential:
Phone: 706-510-4040