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MLK PHARMACY2.0 NPI 1043817208


NPI Information

NPI: 1043817208
Provider Name: MLK PHARMACY2.0
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2457 MLK JR DR SW STE A
ATLANTA, GA
ZIP 30311
Phone: (678) 705-5750
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MLK PHARMACY2.0 is a community/retail pharmacy pharmacy in Atlanta, GA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MLK PHARMACY2.0 NPI is 1043817208. The provider is registered as an organization entity type.

The provider's business location address is:

2457 MLK JR DR SW STE A
ATLANTA, GA
ZIP 30311-712
Phone: (678) 705-5750
Fax: (404) 500-2152

The provider's authorized official is Prince Walker .
The authorized official title is Owner and has the following contact phone number (202) 384-9370.

The enumeration date for this NPI number is 10/1/2020 and was last updated on 10/1/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.