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General NPI Number Information
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NPI Number | 1346494838
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Entity Type | Organization
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Legal Business Name | COMFORT PHARMACY INC
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Dates
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Enumeration Date | 11/10/2008
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Last Update Date | 05/31/2012
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Provider Practice Location Address
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Address Line | 870 MAIN ST
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-3621
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Country | US
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Telephone | 770-469-4040
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Fax | 770-469-4088
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Provider Business Mailing Address
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Address Line | 870 MAIN ST
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-3621
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Country | US
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Telephone | 770-469-4040
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Fax | 770-469-4088
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Authorized Official
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Title or Position | OWNER
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Name | OSA OKOJIE
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Credential |
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Telephone | 770-329-8454
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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 | PHRE009540
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License Number State | GA
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