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Contact Information

CHAMPIONS PHARMACY
3886 PRINCETON LAKES WAY SUITE 180
ATLANTA, GA30331
 Phone: 470-355-7904
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CHAMPIONS PHARMACY

NPI # 1497262778
LBN Legal business name CHAMPIONS PHARMACY
Authorized official SEPEDA WILLIS - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2018
Last updated 01/08/2018 - About 8 years ago
Identifiers
GA License # PHRE010421
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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