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Organization
LOWTIDE PHARMACY ATLANTA LLC
Active
Organization
LOWTIDE PHARMACY ATLANTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELECHUKWU ITEOGU PHARMD (PIC/MANAGING PARTNER)
(478) 954-2364
Entity
Organization
Contact information
Practice address
91135 EAST METRO PKWY, OXFORD, GA 30054-4226
(470) 682-2068
(678) 750-1035
Mailing address
91135 EAST METRO PKWY, OXFORD, GA 30054-4226
(470) 682-2068
(678) 750-1035
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Enumeration date
09/24/2026
Last updated
09/24/2026
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