Healthcare Provider Details

I. General information

NPI: 1841589355
Provider Name (Legal Business Name): COMFORT PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2011
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5529 REDAN CIR STE B
STONE MOUNTAIN GA
30088-3411
US

IV. Provider business mailing address

5529 REDAN CIR STE B
STONE MOUNTAIN GA
30088-3411
US

V. Phone/Fax

Practice location:
  • Phone: 678-694-8836
  • Fax: 678-694-8839
Mailing address:
  • Phone: 678-694-8836
  • Fax: 678-694-8839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code332100000X
TaxonomyDepartment of Veterans Affairs (VA) Pharmacy
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHRE009753
License Number StateGA
# 5
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: OSARHIEME IGBINOBA-OKOJIE
Title or Position: PIC / OWNER
Credential:
Phone: 678-694-8836