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General NPI Number Information
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NPI Number | 1932612991
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Entity Type | Organization
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Legal Business Name | DRUGBUDDIES LLC
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 6415 TARA BLVD
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City | JONESBORO
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State | GA
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Zip | 30236-1225
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Country | US
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Telephone | 678-519-2030
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Fax | 770-703-1581
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Provider Business Mailing Address
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Address Line | PO BOX 1588
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City | JONESBORO
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State | GA
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Zip | 30237-1588
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Country | US
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Telephone | 678-519-2030
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Fax | 770-703-1581
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Authorized Official
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Title or Position | OWNER
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Name | FABIAN OMON AGBONJIAZOE
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Credential |
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Telephone | 678-519-2030
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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 | PHRE010397
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License Number State | GA
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