# CAMP CREEK VILLAGE PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Butner Village Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881024479
- **Authorized official:** DR. KENWIN C.H. MORRIS PHARMD (OWNER)
- **Authorized official phone:** (404) 228-0238

## Contact information

- **Practice address:** 3220 BUTNER RD SW SUITE \#130, ATLANTA, GA 30331
- **Practice address phone:** (404) 228-0238
- **Practice address fax:** (404) 500-4111
- **Mailing address:** 400 REXHAM WAY SW, ATLANTA, GA 30331-7994
- **Mailing address phone:** (404) 228-0238
- **Mailing address fax:** (404) 500-4111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE009971 | GA | Yes |

## Other

- **Enumeration date:** 11/18/2013
- **Last updated:** 11/18/2013