Organization
PYRAMID DISCOUNT PHARMACY INC
Active
Other names
PYRAMID DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WINNIFRED OSUNDE UZZI (AGENT DIRECTOR)
(404) 559-0715
Entity
Organization
Contact information
Practice address
1185 CLEVELAND AVE, EAST POINT, GA 30344-3612
(404) 559-0715
(404) 559-0347
Mailing address
1185 CLEVELAND AVE, EAST POINT, GA 30344-3612
(404) 559-0715
(404) 559-0347
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006839
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00352393A
—
GA
01
—
1132024
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/22/2006
Last updated
11/08/2011
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