Providence Pharmacy Inc
Providence Pharmacy Inc is a Community/Retail Pharmacy in Fairburn, Georgia. Works from 2 locations. Registered with an NPI since 2009.
- In the registry since
- 2009
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
180 W Broad St Ste AFairburn, GA 30213
Phone: (678) 489-2069
Fax: (678) 489-8627
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 180 W Broad St Ste A, Fairburn, GA 30213 — (678) 489-2069
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X |
|---|
Record details
| NPI number | 1942436027 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Clement Okpala — Ceo · (678) 489-2069 |
| Other names | Providence Pharmacy |
| NPI enumerated | June 3, 2009 |
| Last updated in NPPES | March 11, 2021 |
| Certification date | March 11, 2021 |
| Mailing address | 180 W Broad St Ste A, Fairburn, GA 30213 |