Organization
SVDP GEORGIA COMMUNITY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICHOLE HARRIS (CHIEF PROGRAM OFFICER)
(678) 892-6185
Entity
Organization
Contact information
Practice address
2050 CHAMBLEE TUCKER RD STE C, CHAMBLEE, GA 30341-3343
(678) 892-6160
Mailing address
2050 CHAMBLEE TUCKER RD STE C, CHAMBLEE, GA 30341-3343
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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