Organization
FAITH PHARMACY INC
Active
Other names
Faith Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. UCHENNA MGBELU (CEO)
(470) 641-6025
Entity
Organization
Contact information
Practice address
1720 PHOENIX BLVD, SUITE #400, COLLEGE PARK, GA 30349-5594
(770) 997-1112
(770) 997-1905
Mailing address
1720 PHOENIX BLVD, SUITE #400, COLLEGE PARK, GA 30349-5594
(770) 997-1112
(770) 997-1905
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130228
PK
—
05
—
805224208A
—
GA
Enumeration date
09/26/2005
Last updated
06/09/2023
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