Organization
HOLCOMB BRIDGE WELLNESS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR ANSELM KWAKU ADDO PHARMAD (PRESIDENT/OWNER)
(678) 622-1032
Entity
Organization
Contact information
Practice address
861 HOLCOMB BRIDGE RD STE 101, ROSWELL, GA 30076-1900
(470) 297-5749
(470) 297-5758
Mailing address
861 HOLCOMB BRIDGE RD STE 101, ROSWELL, GA 30076-1900
(678) 622-1032
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003229122A
—
GA
Enumeration date
03/07/2019
Last updated
01/22/2025
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