Panacea Pharmacy and Wellness Center Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHRE009701 Issued in GA

Legal business name

PANACEA PHARMACY AND WELLNESS CENTER INC

Practice address

225 Peachtree St NE
Suite B13
Atlanta, GA 30303-1701

Phone

(404) 602-0024

Fax

(404) 602-0017

NPI assigned

Oct 14, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nour Issa, RPH

Title

President

Phone

(404) 602-0024

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1285944975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 PEACHTREE ST NE",
            "address_2": "SUITE B13",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031701",
            "telephone_number": "404-602-0024",
            "fax_number": "404-602-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PEACHTREE ST NE",
            "address_2": "SUITE B13",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031701",
            "telephone_number": "404-602-0024",
            "fax_number": "404-602-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA PHARMACY AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "NOUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-602-0024",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE009701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY STATE LICENSE",
            "identifier": "PHRE009701",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Pan, MD
• Yong Pan, PHARM.D.
• Lakshmi Panagiotakopoulos, MD
• Anastasios Nikolaos Panagopoulos, MD
• Helen Panarites, MD
• Stuart J Pancer, MD
• Rachna R Panchal, PHARM D

• Pharmacy in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.