Organization
FARMACIA LATINA INC
Active
Other names
FARMACIA LATINA INC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MERCHAN RPH (OWNER)
(678) 480-3687
Entity
Organization
Contact information
Practice address
5720 BUFORD HWY, STE 102, NORCROSS, GA 30071-2577
(770) 729-0046
(770) 729-0761
Mailing address
5720 BUFORD HWY, STE 102, NORCROSS, GA 30071-2577
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008452
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008902494A
—
GA
01
—
1148077
OTHER ID NUMBER
—
Enumeration date
01/23/2007
Last updated
09/12/2007
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