Organization
BUCKHEAD PHARMACEUTICAL ASSOCIATION, INC.
Active
Other names
PharmaLife Columbus
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BOGACHEK (PRESIDENT)
(404) 261-7775
Entity
Organization
Contact information
Practice address
1299 MCNAUGHTEN ROAD, COLUMBUS, OH 43213
(614) 866-2120
(614) 866-2128
Mailing address
730 S.O.M. CENTER RD., SUITE 100, MAYFIELD VILLAGE, OH 44143
(440) 605-0303
(440) 605-1437
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
02-1913350
OH
3336C0003X
Community/Retail Pharmacy
Primary
02-1913350
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-1913350
OHIO STATE BOARD OF PHARMACY
OH
01
—
36-77690
NCPDP
OH
Enumeration date
12/15/2008
Last updated
01/09/2009
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