Young Life Pharmacy

LBN: Young Life Enterprise Llc
Young Life Pharmacy is an health care organization with primary practice located at 1769 Candler Rd , Decatur GA 30032-3276. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Young Life Enterprise Llc can be contacted via phone (678) 772-8623, or through Young, Samuel via phone (404) 549-9671.

Contact Information

Primary practice address
1769 Candler Rd Decatur GA 30032-3276
Phone: (678) 772-8623
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Young, Samuel PHARMD
Phone: (404) 549-9671

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1922537000
LBN Legal business name Young Life Enterprise Llc
DBA Doing business as Young Life Pharmacy
Authorized official Young, Samuel PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2017
Last updated Sep 13th, 2022 - about 2 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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