Organization
HUDSON BRIDGE PHARMACY INC
Active
Other names
HUDSON BRIDGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEY RPH (OWNER)
(770) 474-0842
Entity
Organization
Contact information
Practice address
1110 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-7271
(770) 474-0842
(770) 474-7114
Mailing address
1110 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-7271
(770) 474-0842
(770) 474-7114
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006922
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00364977A
—
GA
01
—
2015895
PK
—
Enumeration date
12/29/2006
Last updated
12/09/2016
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