Organization
PCI PHARMACY INC
Active
Other names
PCI PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MBA UKOHA KALU PHARMACIST (CEO)
(404) 549-8447
Entity
Organization
Contact information
Practice address
3500 N DECATUR RD STE 108, SCOTTDALE, GA 30079-6817
(404) 549-8447
(678) 973-0535
Mailing address
3500 N DECATUR RD, SUITE 108, SCOTTDALE, GA 30079-6816
(404) 549-8447
(678) 973-0535
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010351
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003190274A
—
GA
01
—
2168763
PK
—
Enumeration date
04/05/2017
Last updated
03/13/2018
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