Organization
CONCORD INC
Active
Other names
Concord Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A MCCORD (CORPORATE SECRETARY)
(770) 671-0657
Entity
Organization
Contact information
Practice address
993-D JOHNSON FERRY RD, SUITE 230, ATLANTA, GA 30342
(404) 255-0526
(404) 255-6357
Mailing address
8046 ROSWELL RD, SUITE 202, ATLANTA, GA 30350-7023
(770) 671-0657
(770) 393-0835
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006062
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00890458-A
—
GA
Enumeration date
07/31/2006
Last updated
08/22/2020
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