Organization
NUTRAVITA, LLC
Active
Other names
Alphacare Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIKHIL M PATEL RPH (PRESIDENT)
(770) 922-4466
Entity
Organization
Contact information
Practice address
1560 FARMER RD NW, CONYERS, GA 30012-3491
(770) 922-4466
Mailing address
1560 FARMER RD NW, CONYERS, GA 30012-3491
(770) 922-4466
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
PHRE009650
GA
3336L0003X
Long Term Care Pharmacy
PHRE009650
GA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
04/12/2010
Last updated
07/16/2019
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