Organization
DEKALB COMMUNITY SERVICE BOARD
Active
Other names
DeKalb Crisis Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FABIO BRUNO VAN DER MERWE (CEO)
(404) 294-3836
Entity
Organization
Contact information
Practice address
450 WINN WAY, DECATUR, GA 30030-1715
(404) 508-7774
Mailing address
445 WINN WAY FL 4, DECATUR, GA 30030-1707
(404) 294-3836
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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