Organization
CB & NIKKY INC
Active
Other names
APEX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS EZEAGWU (PHARMACIST IN CHARGE)
(770) 719-9050
Entity
Organization
Contact information
Practice address
1240 HIGHWAY 54 W, BLDG 100,STE101, FAYETTEVILLE, GA 30214-4557
(770) 719-9050
Mailing address
1240 HIGHWAY 54 W, BLDG 100,STE101, FAYETTEVILLE, GA 30214-4557
(770) 719-9050
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1161241
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/30/2011
Last updated
07/10/2014
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