# PONCE INFECTIOUS DISEASE CENTER PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639203110
- **Authorized official:** MS. VALAURA D. HALLMAN RPH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (404) 616-3576

## Contact information

- **Practice address:** 341 PONCE DE LEON AVE NE, ATLANTA, GA 30308-2012
- **Practice address phone:** (404) 616-9783
- **Mailing address:** 80 JESSE HILL JR DR SE, PO BOX 26041, ATLANTA, GA 30303-3031
- **Mailing address phone:** (404) 616-3576
- **Mailing address fax:** (404) 616-6070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 08/22/2020