Organization
FOAM LABS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL RICHARD VALENTINO JR. MBA (VICE PRESIDENT OF SALES)
(770) 246-6423
Entity
Organization
Contact information
Practice address
2745 BANKERS INDUSTRIAL DRIVE, ATLANTA, GA 30360
(770) 246-6400
(770) 246-6401
Mailing address
6300 POWERS FERRY RD, SUITE 600-346, ATLANTA, GA 30339
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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