Mako Pharmacy

LBN: Ksyrx Llc
Mako Pharmacy is an health care organization with primary practice located at 5050 Jimmy Carter Blvd Ste 350A , Norcross GA 30093-2759. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ksyrx Llc can be contacted via phone (770) 696-9146, or through Sylla, Ibrahim via phone (770) 696-9146.

Contact Information

Primary practice address
5050 Jimmy Carter Blvd Ste 350A Norcross GA 30093-2759
Phone: (770) 696-9146
Fax: (470) 299-3159
Website:
Map and Directions
Authorized official contact:
Name: Sylla, Ibrahim
Phone: (770) 696-9146

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHHH000060 Georgia
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1962823567
LBN Legal business name Ksyrx Llc
DBA Doing business as Mako Pharmacy
Authorized official Sylla, Ibrahim
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2013
Last updated Dec 27th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962823567 NPPES
Other 2143584 PK

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