MEDICARE: DND RX LLC

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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1457183477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DND RX LLC

Provider Business Mailing Address
First Line	:	317 BANKHEAD HWY STE B
Second Line	:
City	:	CARROLLTON
State	:	GA
Zip	:	30117-2497
Country	:	US
Telephone Number	:	770-858-5767
Fax Number	:

Provider Business Practice Location Address
First Line	:	317 BANKHEAD HWY STE B
Second Line	:
City	:	CARROLLTON
State	:	GA
Zip	:	30117-2497
Country	:	US
Telephone Number	:	770-858-5767
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	HEMANG MAISURIA
Credential	:
Telephone Number	:	404-825-0649

Provider Enumeration Date	:	08/19/2024
Last Update Date	:	08/19/2024

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Directions to “DND RX LLC ” Practice Location

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