Organization
BLOSSOM PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN U EMAREYO (PHARMACY MANAGER)
(678) 217-5645
Entity
Organization
Contact information
Practice address
5780 C H JAMES PKWY STE 230, POWDER SPRINGS, GA 30127-6077
(678) 217-5645
(844) 269-6494
Mailing address
5780 C H JAMES PKWY STE 230, POWDER SPRINGS, GA 30127-6077
(617) 922-7069
(678) 503-2203
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010164
GA
Other
Enumeration date
08/07/2015
Last updated
03/16/2024
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