Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rutledge Pharmacy and Medical Supplies LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1639515380

Rutledge Pharmacy and Medical Supplies LLC is a Durable Medical Equipment & Medical Supplies in Loganville, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2470 Leone Ave Ste E
Loganville, GA 30052-6147
Phone: (770) 728-9624
Fax: (770) 728-9729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHRE009924 (GA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1639515380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christian Ike — President · (770) 265-1740
Other names Rutledge Pharmacy And Medical Supplies
NPI enumeratedMay 21, 2013
Last updated in NPPESJune 19, 2014
Mailing address2470 Leone Ave, Suite E, Loganville, GA 30052-6169

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