# SANTA FE PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487833919
- **Authorized official:** MANUEL LOZANO (DIRECTOR)
- **Authorized official phone:** (770) 495-7942

## Contact information

- **Practice address:** 3750 VENTURE DR, STE 140, DULUTH, GA 30096-1808
- **Practice address phone:** (770) 495-7942
- **Practice address fax:** (770) 495-7943
- **Mailing address:** 3750 VENTURE DR, STE 140, DULUTH, GA 30096-1808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE009404 | GA | Yes |

## Other

- **Enumeration date:** 11/01/2007
- **Last updated:** 02/04/2008
