Organization
CHAMBLEE PHARMACY CORPORATION
Active
Other names
Chamblee Pharmacy Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL JOSEPH (OWNER)
(404) 565-6447
Entity
Organization
Contact information
Practice address
3652 CHAMBLEE DUNWOODY RD STE 3, ATLANTA, GA 30341-2120
(678) 395-7754
(678) 620-3329
Mailing address
3652 CHAMBLEE DUNWOODY RD STE 3, ATLANTA, GA 30341-2120
(678) 395-7754
(678) 620-3329
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009842
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1162875
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/13/2012
Last updated
10/19/2012
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