Whalio Doctors

NPI 1245529262

Cb & Nikky INC

Organisation Community/Retail Pharmacy Fayetteville, GA

Practice location

Address
1240 Highway 54 W Bldg 100,ste101, Fayetteville, GA 30214-4557
Phone
(770) 719-9050

Authorised official

Name
Chris Ezeagwu
Title
Pharmacist in Charge
Phone
(770) 719-9050

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1245529262
Entity type
Organization
NPI issued
30 Mar 2011
Record last updated
10 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.