Organization
CAMP CREEK VILLAGE PHARMACY INC.
Active
Other names
Butner Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENWIN C.H. MORRIS PHARMD (OWNER)
(404) 228-0238
Entity
Organization
Contact information
Practice address
3220 BUTNER RD SW SUITE #130, ATLANTA, GA 30331
(404) 228-0238
(404) 500-4111
Mailing address
400 REXHAM WAY SW, ATLANTA, GA 30331-7994
(404) 228-0238
(404) 500-4111
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009971
GA
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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