| NPI | 1457060220 |
|---|---|
| Doing Business As | CHAMPINE DISCOUNT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SEPEDA WILLIS Manager 470-331-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |