Organization
HEART PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN WEYMAN GRIFFIN SR. RPH (CEO / CHIEF PHARMACIST)
(770) 997-6500
Entity
Organization
Contact information
Practice address
706 SPRINGDALE DR, RIVERDALE, GA 30274-2327
(770) 997-6500
(770) 909-0737
Mailing address
706 SPRINGDALE DR, RIVERDALE, GA 30274-2327
(770) 997-6500
(770) 909-0737
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
9038
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000054711A
—
GA
01
—
1113238
NABP
GA
Enumeration date
10/23/2006
Last updated
12/23/2014
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