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Organization
CIMIRCAU INC DBA WASHINGTON ROAD PHARMACY
Active
Organization
CIMIRCAU INC DBA WASHINGTON ROAD PHARMACY
Active
Other names
WASHINGTON ROAD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFEANYI JOHN ANIKPE RPH, PHARM. D. (PHARMACISTINCHARGE)
(404) 761-6488
Entity
Organization
Contact information
Practice address
3518 WASHINGTON RD, EAST POINT, GA 30344-5844
(404) 761-6488
(404) 762-8375
Mailing address
3518 WASHINGTON RD, EAST POINT, GA 30344-5844
(404) 761-6488
(404) 762-8375
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
000415071A
GA
3336C0003X
Community/Retail Pharmacy
Primary
PHRE002981
GA
3336C0004X
Compounding Pharmacy
PHRE002981
GA
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Enumeration date
10/20/2006
Last updated
11/23/2021
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