Organization
VICTORY PHARMACY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HILARY JACK MBADUGHA (PRESIDENT/CEO)
(404) 625-0387
Entity
Organization
Contact information
Practice address
11328 TARA BLVD, HAMPTON, GA 30228-6229
(678) 519-3376
(678) 519-3404
Mailing address
11328 TARA BLVD, HAMPTON, GA 30228-6229
(678) 519-3376
(678) 519-3404
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009684
GA
Other
Enumeration date
10/01/2010
Last updated
04/11/2014
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