Tracy Medicine of Atlanta Ga INC

NPI #1962496166 in Chamblee, Georgia

Provider Information

NPI Number: 1962496166
Entity Type: Organization
Organization Name: Tracy Medicine of Atlanta Ga INC
Primary Specialty: Pharmacy
Enumeration Date: Sep 2, 2005
Last Updated: Jul 29, 2021

Practice Location

Address: 3650 CHAMBLEE TUCKER RD
City: Chamblee
State: Georgia
ZIP Code: 30341-4420
Phone: (770) 934-7703

Authorized Official

Name: SHANNAN LYNN TRACY, PHARMACIST
Title: PRESIDENT/OWNER
Phone: (770) 934-7703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy	333600000X	Primary

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