Organization
PUBLIX PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIREZA LAVASSANI (PHARMACIST)
(404) 587-8099
Entity
Organization
Contact information
Practice address
4305 STATE BRIDGE RD, ALPHARETTA, GA 30022-4471
(770) 751-7997
Mailing address
195 SADDLE BRIDGE DR, ALPHARETTA, GA 30022-8128
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RPH027645
GA
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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