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Organization
PRIDE MEDICAL INC
Active
Organization
PRIDE MEDICAL INC
Active
Other names
PRIDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON NASH PHARMD (DIRECTOR OF PHARMACY)
(404) 355-3788
Entity
Organization
Contact information
Practice address
3280 HOWELL MILL RD NW, SUITE 326, ATLANTA, GA 30327-4111
(404) 355-3788
(678) 244-2157
Mailing address
3280 HOWELL MILL RD NW, SUITE 326, ATLANTA, GA 30327-4111
(404) 355-3788
(678) 244-2157
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007491
GA
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
09/12/2006
Last updated
12/18/2013
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