Healthcare Provider Details
I. General information
NPI: 1992132567
Provider Name (Legal Business Name): HANG PHARMACY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/27/2013
Last Update Date: 03/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5270 PEACHTREE PKWY STE 114A
PEACHTREE CORNERS GA
30092-2508
US
IV. Provider business mailing address
PO BOX 3028
DULUTH GA
30096-0052
US
V. Phone/Fax
- Phone: 678-691-9079
- Fax: 678-691-9089
- Phone: 678-691-9079
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | PHRE009967 |
| License Number State | GA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
APRIL
HANG
Title or Position: PRESIDENT
Credential:
Phone: 678-691-9079