Organization
SONDIAL PHARMACY LLC
Active
Other names
Sondial Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN WATKINS (OWNER)
(404) 591-0900
Entity
Organization
Contact information
Practice address
1670 SCOTT BLVD, SUITE 208, DECATUR, GA 30033-5605
(404) 591-0900
(404) 591-0909
Mailing address
1670 SCOTT BLVD, SUITE 208, DECATUR, GA 30033-5605
(404) 591-0900
(404) 591-0909
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE010308
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163881
PK
—
Enumeration date
08/18/2016
Last updated
09/02/2016
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