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Organization
LITTLE 5 POINTS PHARMACY
Active
Organization
LITTLE 5 POINTS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH WAGNER (PHARMACIST IN CHARGE)
(404) 524-4466
Entity
Organization
Contact information
Practice address
484 MORELAND AVE NE, ATLANTA, GA 30307-3426
(404) 524-4466
Mailing address
484 MORELAND AVE NE, ATLANTA, GA 30307-3426
(404) 524-4466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHRE005725
GA
Other
Enumeration date
04/12/2007
Last updated
11/28/2007
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