MEDICARE: XRX PHARMACY 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	183500000X	Pharmacist

General Provider Information

NPI Number	:	1699634865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XRX PHARMACY LLC

Provider Business Mailing Address
First Line	:	777 CLEVELAND AVE SW STE 410
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-7119
Country	:	US
Telephone Number	:	954-970-6969
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 CLEVELAND AVE SW STE 410
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-7119
Country	:	US
Telephone Number	:	954-970-6969
Fax Number	:

Authorized Official
Title or Position	:	PIC
Name	:	CHIDINMA OKEH
Credential	:	PHARMD
Telephone Number	:	404-408-8836

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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Directions to “XRX PHARMACY LLC ” Practice Location

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