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Organization
SVDP GEORGIA COMMUNITY PHARMACY LLC
Active
Organization
SVDP GEORGIA COMMUNITY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICHOLE HARRIS (CHIEF PROGRAM OFFICER)
(678) 892-6185
Entity
Organization
Contact information
Practice address
2050 CHAMBLEE TUCKER RD STE C, CHAMBLEE, GA 30341-3343
(678) 892-6160
Mailing address
2050 CHAMBLEE TUCKER RD STE C, CHAMBLEE, GA 30341-3343
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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