Organization
YW PROFESSIONAL AND PFC TRADING ALLIANCE INC
Active
Other names
WAI KIU FAMCARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALEC CHAN RPH (GEN MGR)
(770) 455-8882
Entity
Organization
Contact information
Practice address
5150 BUFORD HWY NE, STE B180, DORAVILLE, GA 30340-1153
(770) 455-8882
(770) 455-8806
Mailing address
5150 BUFORD HWY NE, STE B180, DORAVILLE, GA 30340-1153
(770) 455-8882
(770) 455-8806
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007868
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000653243A
—
GA
01
—
2019126
PK
—
Enumeration date
11/13/2006
Last updated
04/21/2016
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