# CIMIRCAU INC DBA WASHINGTON ROAD PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WASHINGTON ROAD PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518049279
- **Authorized official:** DR. IFEANYI JOHN ANIKPE RPH, PHARM. D. (PHARMACISTINCHARGE)
- **Authorized official phone:** (404) 761-6488

## Contact information

- **Practice address:** 3518 WASHINGTON RD, EAST POINT, GA 30344-5844
- **Practice address phone:** (404) 761-6488
- **Practice address fax:** (404) 762-8375
- **Mailing address:** 3518 WASHINGTON RD, EAST POINT, GA 30344-5844
- **Mailing address phone:** (404) 761-6488
- **Mailing address fax:** (404) 762-8375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 000415071A | GA | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE002981 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | PHRE002981 | GA | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 11/23/2021
