Organization
CHRISTIANS PHARMACY INC
Active
Other names
CHRISTIANS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CHAFIN PHD (OWNER PHCST)
(404) 366-4320
Entity
Organization
Contact information
Practice address
1032 MAIN ST, FOREST PARK, GA 30297-1442
(404) 366-4320
(404) 366-0834
Mailing address
PO BOX 158, FOREST PARK, GA 30298-0158
(404) 366-4320
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006261
GA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024758A
—
GA
05
—
0024758B
—
GA
05
—
0024758C
—
GA
01
—
2012363
PK
—
Enumeration date
08/30/2005
Last updated
12/09/2015
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