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Organization
BUCKHEAD PHARMACEUTICAL ASSOCIATION, INC.
Active
Organization
BUCKHEAD PHARMACEUTICAL ASSOCIATION, INC.
Active
Other names
PharmaLife Columbus
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BOGACHEK (PRESIDENT)
(404) 261-7775
Entity
Organization
Contact information
Practice address
1299 MCNAUGHTEN ROAD, COLUMBUS, OH 43213
(614) 866-2120
(614) 866-2128
Mailing address
730 S.O.M. CENTER RD., SUITE 100, MAYFIELD VILLAGE, OH 44143
(440) 605-0303
(440) 605-1437
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
02-1913350
OH
3336C0003X
Community/Retail Pharmacy
Primary
02-1913350
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-1913350
OHIO STATE BOARD OF PHARMACY
OH
01
—
36-77690
NCPDP
OH
Enumeration date
12/15/2008
Last updated
01/09/2009
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