Provider Demographics
NPI:1932612991
Name:DRUGBUDDIES LLC
Entity type:Organization
Organization Name:DRUGBUDDIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FABIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AGBONJIAZOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-519-2030
Mailing Address - Street 1:PO BOX 1588
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30237-1588
Mailing Address - Country:US
Mailing Address - Phone:678-519-2030
Mailing Address - Fax:770-703-1581
Practice Address - Street 1:6457 TARA BLVD STE 7
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-1214
Practice Address - Country:US
Practice Address - Phone:678-519-2030
Practice Address - Fax:770-703-1581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-13
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE0103973336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy