Organization
A & E PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLISEO ESPAILLAT (PRESIDENT)
(786) 301-5445
Entity
Organization
Contact information
Practice address
3853 LAWRENCEVILLE HWY, STE C, TUCKER, GA 30084-4521
(786) 301-5445
Mailing address
3853 LAWRENCEVILLE HWY, STE C, TUCKER, GA 30084-4521
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
GA
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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