# POLY-PLEX PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Poly-Plex Pharmacy Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366545428
- **Authorized official:** UCHENNA MGBELU (CEO)
- **Authorized official phone:** (404) 799-3315

## Contact information

- **Practice address:** 2596 DONALD LEE HOLLOWELL PKWY NW, ATLANTA, GA 30318-8300
- **Practice address phone:** (404) 799-3315
- **Practice address fax:** (404) 799-3375
- **Mailing address:** 2596 DONALD LEE HOLLOWELL PKWY NW, ATLANTA, GA 30318-8300
- **Mailing address phone:** (404) 799-3315
- **Mailing address fax:** (404) 799-3375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 06/08/2023