EASTLAKE PHARMACY INC
Suppliers at Glenwood Ave, Atlanta, GA

License number
Georgia PHRE009881
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: THOMAS JUSU
Title: OWNER PHARMACIST-IN-CHARGE
Phone: (678) 357-1044
Address
Address 2
1308 Glenwood Ave SE, Atlanta, GA 30316
4141 Brooks Mill Dr, Lithonia, GA 30038
National Provider ID: 1255676326
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EASTLAKE PHARMACY INC at bizstanding.com

Eastlake Pharmacy Inc

1308 Glenwood Ave SE, Atlanta, GA 30316

Industry:
Drug Stores and Proprietary Stores, Nonclassifiable Establishments, Ret Drugs/Sundries
Doing business as:
Eastlake Pharmacy
Phone:
(404) 968-9332 (Phone)
Principal:
Thomas Jusu (Principal)
Categories:
Drug Stores & Pharmacies

EASTLAKE PHARMACY INC

4141 Brk Ml Dr, Lithonia, GA 30038

Registration:
Jul 17, 2012
State ID:
12058292
Business type:
Domestic Profit Corporation
CEO:
Sao Thomas Jusu (CEO), 4141 Brk Ml Dr, Lithonia, GA 30038 (Physical)
Agent:
Thomas Sao Jusu,4141 Brk Ml Dr, Lithonia, GA (Physical)

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