Organization
MARKET PHARMACY INC
Active
Other names
MARKET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER NAIK (PRESIDENT)
(770) 630-4037
Entity
Organization
Contact information
Practice address
209 EDGEWOOD AVE SE, ATLANTA, GA 30303-3012
(404) 524-8888
(404) 524-9999
Mailing address
2441 LOCKERLY PASS, DULUTH, GA 30097-4340
(770) 630-4037
(404) 524-9999
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008193
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770921A
—
GA
01
—
2020191
PK
—
Enumeration date
07/14/2006
Last updated
03/23/2015
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