Organization
PRECISION COMPOUNDING PHARMACY LLC
Active
Other names
Precision Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VERN OHAYA (PHARMACIST)
(770) 772-0604
Entity
Organization
Contact information
Practice address
1805 HEMBREE RD, STE C, ALPHARETTA, GA 30009-2075
(770) 772-0604
(770) 772-0605
Mailing address
1805 HEMBREE RD, STE C, ALPHARETTA, GA 30009-2075
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009546
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1158624
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/03/2009
Last updated
06/10/2009
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