Providence Pharmacy INC
NPI #1942436027 in Fairburn, Georgia
Provider Information
- NPI Number
- 1942436027
- Entity Type
- Organization
- Organization Name
- Providence Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 3, 2009
- Last Updated
- Mar 11, 2021
Practice Location
Authorized Official
- Name
- CLEMENT EMEKA OKPALA, PHARMD
- Title
- CEO
- Phone
- (678) 489-2069
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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