# BUCKHEAD PHARMACEUTICAL ASSOCIATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PharmaLife Columbus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194960450
- **Authorized official:** DR. MICHAEL BOGACHEK (PRESIDENT)
- **Authorized official phone:** (404) 261-7775

## Contact information

- **Practice address:** 1299 MCNAUGHTEN ROAD, COLUMBUS, OH 43213
- **Practice address phone:** (614) 866-2120
- **Practice address fax:** (614) 866-2128
- **Mailing address:** 730 S.O.M. CENTER RD., SUITE 100, MAYFIELD VILLAGE, OH 44143
- **Mailing address phone:** (440) 605-0303
- **Mailing address fax:** (440) 605-1437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 02-1913350 | OH | — |
| 3336C0003X | Community/Retail Pharmacy | 02-1913350 | OH | Yes |

## Other

- **Enumeration date:** 12/15/2008
- **Last updated:** 01/09/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02-1913350 | OHIO STATE BOARD OF PHARMACY | OH |
| 01 | — | 36-77690 | NCPDP | OH |