Organization
CADUCEUS USA MEDICAL PHARMACY LLC
Active
Other names
Caduceus Occupational Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN DAWKINS (MEDICAL DIRECTOR & OWNER)
(404) 761-4040
Entity
Organization
Contact information
Practice address
535 N CENTRAL AVE, HAPEVILLE, GA 30354-1603
(404) 761-1263
(404) 761-2698
Mailing address
535 N CENTRAL AVE, HAPEVILLE, GA 30354-1603
(404) 761-1263
(404) 761-2698
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
PHRE008706
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159170
PK
—
Enumeration date
04/01/2016
Last updated
04/29/2016
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