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Organization
BUCKHEAD PHARMACEUTICAL ASSOCIATION INC
Active
Organization
BUCKHEAD PHARMACEUTICAL ASSOCIATION INC
Active
Other names
BUCKHEAD PHARMACEUTICAL ASSOCIATION
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BRAGINSKY (MANAGER)
(440) 605-0303
Entity
Organization
Contact information
Practice address
730 SOM CENTER RD, STE 100, MAYFIELD VILLAGE, OH 44143-2350
(440) 605-0303
(440) 605-1437
Mailing address
730 SOM CENTER RD, STE 100, MAYFIELD VILLAGE, OH 44143-2350
(440) 605-0303
(440) 605-1437
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
021395150
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2079636
PK
—
05
—
2426520
—
OH
Enumeration date
06/11/2006
Last updated
07/19/2018
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