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Providence Pharmacy Inc
Community/Retail Pharmacy in Fairburn, Georgia
NPI 1942436027

Providence Pharmacy Inc is a Community/Retail Pharmacy based in Fairburn, GA and is specialized in Community/Retail Pharmacy. Providence Pharmacy Inc practices in Fairburn, GA. The NPI Number for Providence Pharmacy Inc is 1942436027 and holds a License No. (Georgia).

The current practice location address for Providence Pharmacy Inc is 180 W Broad St Ste A, Fairburn, GA and can be reached out via phone at 678-489-2069 and via fax at 678-489-8627.

Location: 180 W Broad St Ste A, Fairburn, GA, 30213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942436027
Provider Name
Providence Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
180 W Broad St Ste A, Fairburn, GA, 30213
Phone Number
678-489-2069
Fax Number
678-489-8627
Provider Enumeration Date
06/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
054275159A 05 GA
institution
Provider Business Practice Location Address Details
Address
180 W Broad St Ste A
City
Fairburn
State
Georgia
Zip
30213
Phone Number
678-489-2069
Fax Number
678-489-8627
person
Provider Business Mailing Address Details
Address
180 W Broad St Ste A
City
Fairburn
State
Georgia
Zip
30213
Phone Number
678-489-2069
Fax Number
678-489-8627
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
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Definition
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 health care providers, collaborative practice, disease state management, and education classes.
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