Eastlake Pharmacy Inc is not a DME supplier for medicare equipments and products.
Eastlake Pharmacy Inc is a Community/Retail Pharmacy in Atlanta, Georgia. It is located at 1308 Glenwood Ave Se, Atlanta and it's customer support contact number is 770-593-8688. The authorized person of Eastlake Pharmacy Inc is Thomas Jusu who is Owner Pharmacist-in-charge of the pharmacy and his contact number is 678-357-1044. Active license number of Eastlake Pharmacy Inc is PHRE009881 for Community/Retail Pharmacy in Georgia. Eastlake Pharmacy Inc 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.
Pharmacy Details:
Eastlake Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Eastlake Pharmacy Inc
Type:
Community/Retail Pharmacy
Location:
1308 Glenwood Ave Se, Atlanta, Georgia, 30316-2077
Phone:
770-593-8688
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Thomas Jusu
Position:
Owner Pharmacist-in-charge
Contact Number:
678-357-1044
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1255676326
NPI Enumeration Date:
30 Nov, 2012
NPI Last Update On:
30 Nov, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eastlake Pharmacy Inc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PHRE009881
Georgia
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1163029
Other
Ncpdp Provider Identification Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4141 Brooks Mill Dr, Lithonia, Georgia
Zip:
30038-4144
Phone Number:
678-357-1044
Fax Number:
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Patients can reach Eastlake Pharmacy Inc at 1308 Glenwood Ave Se, Atlanta, Georgia or can call on customer care at 770-593-8688.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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