Eastside Family Pharmacy

LBN: Trudal, Llc
Eastside Family Pharmacy is an health care organization with primary practice located at 1795 Presidential Cir , Snellville GA 30078-5644. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Trudal, Llc can be contacted via phone (770) 807-0137, or through Dalton, Michele Duke via phone (770) 807-0137.

Contact Information

Primary practice address
1795 Presidential Cir Snellville GA 30078-5644
Phone: (770) 807-0137
Fax: (770) 696-9374
Website:
Map and Directions
Authorized official contact:
Name: Dalton, Michele Duke
Phone: (770) 807-0137

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE010050 Georgia
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1164839577
LBN Legal business name Trudal, Llc
DBA Doing business as Eastside Family Pharmacy
Authorized official Dalton, Michele Duke
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2014
Last updated Jul 31st, 2014 - about 12 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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