Provider Demographics
NPI:1912105990
Name:METTA INTERNATIONAL PHARMACY CO
Entity Type:Organization
Organization Name:METTA INTERNATIONAL PHARMACY CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHUAN
Authorized Official - Middle Name:CHANG
Authorized Official - Last Name:CHIEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS RPH
Authorized Official - Phone:770-451-0363
Mailing Address - Street 1:5557-2 NEW PEACHTREE RD
Mailing Address - Street 2:
Mailing Address - City:CHAMBLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30341-2500
Mailing Address - Country:US
Mailing Address - Phone:770-451-0363
Mailing Address - Fax:770-451-0364
Practice Address - Street 1:5557-2 NEW PEACHTREE RD
Practice Address - Street 2:METTA INTERNATIONAL PHARMACY CO
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-2500
Practice Address - Country:US
Practice Address - Phone:770-451-0363
Practice Address - Fax:770-451-0364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH015281183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty