Organization
FAITH HEALTH SERVICES INC
Active
Other names
CPS
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH VICKERIE (CEO)
(770) 598-8031
Entity
Organization
Contact information
Practice address
3100 MEDLOCK BRIDGE RD STE 500, NORCROSS, GA 30071-1441
(770) 442-8928
(770) 442-3320
Mailing address
240 PROSPECT PL, ALPHARETTA, GA 30005-5454
(678) 624-1646
(770) 442-3320
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1162483
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/22/2012
Last updated
05/25/2012
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