# CAMP CREEK PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Camp Creek Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285932566
- **Authorized official:** SOFIA FARAH (OWNER/PHARMACIST)
- **Authorized official phone:** (832) 818-8187

## Contact information

- **Practice address:** 3886 PRINCETON LAKES WAY SW STE 180, ATLANTA, GA 30331-5511
- **Practice address phone:** (404) 494-8010
- **Practice address fax:** (404) 494-8025
- **Mailing address:** PO BOX 5885, ATLANTA, GA 31107-0885
- **Mailing address phone:** (404) 494-8010
- **Mailing address fax:** (404) 494-8025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE009735 | GA | Yes |

## Other

- **Enumeration date:** 03/10/2011
- **Last updated:** 04/20/2012