# HUDSON BRIDGE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HUDSON BRIDGE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578629846
- **Authorized official:** DAVID KEY RPH (OWNER)
- **Authorized official phone:** (770) 474-0842

## Contact information

- **Practice address:** 1110 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-7271
- **Practice address phone:** (770) 474-0842
- **Practice address fax:** (770) 474-7114
- **Mailing address:** 1110 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-7271
- **Mailing address phone:** (770) 474-0842
- **Mailing address fax:** (770) 474-7114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE006922 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 12/09/2016