Organization
COMFORT PHARMACY INC
Active
Other names
Comfort Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
OSA OKOJIE (OWNER)
(770) 329-8454
Entity
Organization
Contact information
Practice address
870 MAIN ST, STONE MOUNTAIN, GA 30083-3621
(770) 469-4040
(770) 469-4088
Mailing address
870 MAIN ST, STONE MOUNTAIN, GA 30083-3621
(770) 469-4040
(770) 469-4088
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009540
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003119712A
—
GA
01
—
1158066
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/10/2008
Last updated
05/31/2012
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