MEDICARE: AXIS PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy

General Provider Information

NPI Number	:	1215895040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AXIS PHARMACY

Provider Business Mailing Address
First Line	:	2070 SUGARLOAF PKWY STE 800
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30045-9381
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2070 SUGARLOAF PKWY STE 800
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30045-9381
Country	:	US
Telephone Number	:	404-918-7189
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BANKIMKUMAR PATEL
Credential	:
Telephone Number	:	404-918-7189

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “AXIS PHARMACY ” Practice Location

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