Organization
FAYETTE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEWALE BELLO (OWNER)
(404) 302-7788
Entity
Organization
Contact information
Practice address
600 LANIER AVE W STE 203, FAYETTEVILLE, GA 30214-1833
(678) 470-4280
(678) 302-7484
Mailing address
600 LANIER AVE W STE 203, FAYETTEVILLE, GA 30214-1833
(678) 470-4280
(678) 302-7484
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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