Organization
POLY PLEX PHARMACY INC
Active
Organization
POLY PLEX PHARMACY INC
Active
Parent organization
POLY PLEX PHARMACY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
POLY PLEX PHARMACY INC
Authorized official
PAULINE BADIKI (PRESIDENT)
(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
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0893254001
BCBS
GA
05
—
543734369A
—
GA
Enumeration date
11/19/2007
Last updated
11/19/2007
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