Professional Medical Pharmacy in Stone Mountain - Pharmacist

Professional Medical Pharmacy - NPI 1245375070

Professional Medical Pharmacy is a Pharmacist in Stone Mountain, Georgia. Professional Medical Pharmacy practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Professional Medical Pharmacy is 1245375070. The last update date is 2020-08-22.

Professional Medical Pharmacy's current location address is 4859c Memorial Dr, Stone Mountain, Georgia. You can contact this provider via phone number 4042997372 and fax number 4045089225. The mailing address for Professional Medical Pharmacy is 4859c Memorial Dr, Stone Mountain, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Professional Medical Pharmacy
Address 4859c Memorial Dr, Stone Mountain, Georgia
Phone Number 4042997372
Fax Number 4045089225
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Pernell William
Telephone Number 4042997372

NPI Number Detail

NPI Number 1245375070
Provider Enumeration Date 2007-02-20
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4859c Memorial Dr
City Stone Mountain
State Georgia (GA)
Post Code 300834175
Phone Number 4042997372
Fax Number 4045089225

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No RPH017641
Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00814888A GA --
00814888B GA --

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FAQs about Professional Medical Pharmacy

What is the unique identification code assigned to Professional Medical Pharmacy by the Centers for Medicare & Medicaid Services?

The Professional Medical Pharmacy has been issued the NPI (National Provider Identifier) 1245375070. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Professional Medical Pharmacy is physically located?

The Professional Medical Pharmacy is physically situated at the following address: 4859C Memorial Dr, Stone Mountain, GA, 300834175.

What is Professional Medical Pharmacy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Professional Medical Pharmacy is Pharmacist, and the corresponding taxonomy classification code for this specialized field is 183500000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1245375070 to Professional Medical Pharmacy?

The Professional Medical Pharmacy received its 1245375070 assignment from the Centers for Medicare & Medicaid Services on 2007-02-20.

When was the information regarding Professional Medical Pharmacy, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Professional Medical Pharmacy, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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