Organization
CHAMPIONS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEPEDA WILLIS (MANAGER)
(404) 394-4406
Entity
Organization
Contact information
Practice address
3886 PRINCETON LAKES WAY SUITE 180, ATLANTA, GA 30331
(470) 355-7904
Mailing address
3886 PRINCETON LAKES WAY SW STE 180, ATLANTA, GA 30331-5511
(470) 355-7904
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010421
GA
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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