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General NPI Number Information
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NPI Number | 1023437365
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Entity Type | Organization
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Legal Business Name | ALPHA PHARMACY AND WELLNESS CENTER INC.
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 3475 HOLCOMB BRIDGE ROAD, SUITE 200 D.
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092
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Country | US
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Telephone | 770-840-9995
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Fax | 770-840-9998
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Provider Business Mailing Address
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Address Line | 3475 HOLCOMB BRIDGE ROAD, SUITE 200 D.
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092
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Country | US
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Telephone | 770-840-9995
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Fax | 770-840-9998
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Authorized Official
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Title or Position | PHARMACIST INCHARGE
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Name | MRS. ESTHER ANOSIKE
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Credential | PHARM.D
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Telephone | 770-840-9995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RPH 024476
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License Number State | GA
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