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Organization

PHYSICIANS RX PHARMACY OF ATLANTA

Active
Other names
Physicians Rx Pharmacy of Atlanta
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD SMITH (CEO)
(301) 789-9288
Entity
Organization

Contact information

Practice address
1605 PEACHTREE ST NE, ATLANTA, GA 30309-2433
(404) 870-7748
(404) 529-4537
Mailing address
C/O DOMINIC CUTULI, 436 SEVENTH AVENUE, PITTSBURGH, PA 15219
(412) 391-2920
(412) 391-4703

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010070
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003153638A
GA
01
2146664
PK
Enumeration date
06/26/2014
Last updated
11/24/2014
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