# VINA PHARMACY

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

## Provider details

- **NPI number:** 1952312597
- **Authorized official:** LAN VO (PARTNER)
- **Authorized official phone:** (404) 664-8659

## Contact information

- **Practice address:** 969 WINDY HILL RD SE, STE N, SMYRNA, GA 30080-2003
- **Practice address phone:** (770) 805-0207
- **Practice address fax:** (770) 805-0209
- **Mailing address:** 969 WINDY HILL RD SE, STE N, SMYRNA, GA 30080-2003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE009039 | GA | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 03/12/2008