Organization · Type 2 NPI

Providence Pharmacy Inc

Community/Retail Pharmacy · Fairburn, GA

NPI number 1942436027 Active

Practice location

180 W Broad St Ste A
Fairburn, GA 30213

Fax (678) 489-8627

Other practice locations

  • 180 W Broad St Ste A, Fairburn, GA 30213 · (678) 489-2069

Specialties and licenses

TaxonomyCodeLicense
Community/Retail Pharmacy Primary 3336C0003XNone listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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About NPI 1942436027

Providence Pharmacy Inc's National Provider Identifier is 1942436027, issued on Jun 3, 2009. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Fairburn, GA. The record was last updated on Mar 11, 2021.