# SVDP GEORGIA COMMUNITY PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184225526
- **Authorized official:** MS. NICHOLE HARRIS (CHIEF PROGRAM OFFICER)
- **Authorized official phone:** (678) 892-6185

## Contact information

- **Practice address:** 2050 CHAMBLEE TUCKER RD STE C, CHAMBLEE, GA 30341-3343
- **Practice address phone:** (678) 892-6160
- **Mailing address:** 2050 CHAMBLEE TUCKER RD STE C, CHAMBLEE, GA 30341-3343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2020
- **Last updated:** 11/03/2020