Organization
VILLAGE PHARMACY INC
Active
Other names
Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY PARKER PHARM.D. (PRESIDENT)
(678) 501-5165
Entity
Organization
Contact information
Practice address
3697 HIGHWAY 5 STE 6, DOUGLASVILLE, GA 30135-6901
(678) 501-5165
(678) 501-5170
Mailing address
3697 HIGHWAY 5 STE 6, DOUGLASVILLE, GA 30135-6901
(678) 501-5165
(678) 501-5170
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009649
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124510
PK
—
05
—
691432518A
—
GA
Enumeration date
04/05/2010
Last updated
02/19/2014
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