# SSC AFFILIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shepherd Apothecary
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588774392
- **Authorized official:** DR. CHRISTOPHER PAUL MCGOURK PHARMD (MANAGER)
- **Authorized official phone:** (404) 350-7743

## Contact information

- **Practice address:** 2020 PEACHTREE RD NW, ATLANTA, GA 30309-1426
- **Practice address phone:** (404) 350-7743
- **Practice address fax:** (404) 350-7514
- **Mailing address:** 2020 PEACHTREE RD NW, ATLANTA, GA 30309-1426
- **Mailing address phone:** (404) 350-7743
- **Mailing address fax:** (404) 350-7514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PHRE005987 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE005987 | GA | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 02/22/2017