Organization
PHYSICIANS PHARMACY ALLIANCE , INC
Active
Other names
Physicians Pharmacy Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA MCFADDEN (CHIEF COMPLIANCE OFFICER)
(866) 463-5550
Entity
Organization
Contact information
Practice address
4345 INTERNATIONAL PKWY, SUITE 100, ATLANTA, GA 30354-3911
(404) 633-6656
(404) 634-6657
Mailing address
4345 INTERNATIONAL PKWY, SUITE 100, ATLANTA, GA 30354-3911
(404) 633-6656
(404) 634-6657
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE009833
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124131A
—
GA
01
—
2135213
PK
—
Enumeration date
05/17/2012
Last updated
06/18/2013
About Stedi
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