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Organization

HOPE DISPENSARY

Active
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Organization

HOPE DISPENSARY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TASSEW TESFAYE (MD)
(404) 809-2480
Entity
Organization

Contact information

Practice address
4958 MEMORIAL DR, STONE MOUNTAIN, GA 30083-4148
(404) 809-2486
Mailing address
4958 MEMORIAL DR, STONE MOUNTAIN, GA 30083-4148
(404) 809-2486

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
05/15/2015
Last updated
06/02/2016
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