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General NPI Number Information
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NPI Number | 1255853784
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Entity Type | Organization
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Legal Business Name | ANCHOR RX LLC
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Dates
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Enumeration Date | 07/17/2017
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 2139 LAWRENCEVILLE HWY
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City | DECATUR
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State | GA
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Zip | 30033-4321
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Country | US
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Telephone | 404-600-8172
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Fax | 678-732-9614
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Provider Business Mailing Address
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Address Line | 2139 LAWRENCEVILLE HWY
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City | DECATUR
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State | GA
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Zip | 30033-4321
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Country | US
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Telephone | 404-600-8172
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Fax | 678-732-9614
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | VARUN PATEL
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Credential |
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Telephone | 469-404-3686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE010365
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License Number State | GA
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