Organization
POLY-PLEX PHARMACY INC
Active
Other names
Poly-Plex Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
UCHENNA MGBELU (CEO)
(404) 799-3315
Entity
Organization
Contact information
Practice address
2596 DONALD LEE HOLLOWELL PKWY NW, ATLANTA, GA 30318-8300
(404) 799-3315
(404) 799-3375
Mailing address
2596 DONALD LEE HOLLOWELL PKWY NW, ATLANTA, GA 30318-8300
(404) 799-3315
(404) 799-3375
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2129682
PK
—
05
—
543734369A
—
GA
Enumeration date
09/06/2006
Last updated
06/08/2023
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