Organization
CHAMPINE DISCOUNT PHARMACY
Active
Other names
Champine discount pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SEPEDA WILLIS (MANAGER)
(470) 331-6340
Entity
Organization
Contact information
Practice address
3369 BUFORD HWY NE STE 830A, BROOKHAVEN, GA 30329-1742
(404) 963-2469
(404) 963-2362
Mailing address
3369 BUFORD HWY NE STE 830A, BROOKHAVEN, GA 30329-1742
(404) 963-2469
(404) 963-2362
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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