Pine Mountain Pharmacy, Inc in Pine Mountain - Community/retail Pharmacy
Pine Mountain Pharmacy, Inc - NPI 1447280672
Pine Mountain Pharmacy, Inc is a Community/retail Pharmacy in Pine Mountain, Georgia. Pine Mountain Pharmacy, Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Pine Mountain Pharmacy, Inc is 1447280672. The last update date is 2020-08-22.
Pine Mountain Pharmacy, Inc's current location address is Po Box A, Pine Mountain, Georgia. You can contact this provider via phone number 7066632255. The mailing address for Pine Mountain Pharmacy, Inc is Po Box A, Pine Mountain, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine Mountain Pharmacy, Inc |
|---|---|
| Address | Po Box A, Pine Mountain, Georgia |
| Phone Number | 7066632255 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Storey Iverson Charles |
| Credentials | RPH |
| Telephone Number | 7066632255 |
NPI Number Detail
| NPI Number | 1447280672 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box A |
|---|---|
| City | Pine Mountain |
| State | Georgia (GA) |
| Post Code | 318220500 |
| Phone Number | 7066632255 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 158 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1112969 | GA | NABP |
Post Comment/ Review Below
What is the Pine Mountain Pharmacy, Inc's 1447280672?
The Pine Mountain Pharmacy, Inc's NPI (National Provider Identifier) Number is 1447280672. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Pine Mountain Pharmacy, Inc is physically located?
The Pine Mountain Pharmacy, Inc is physically situated at the following address: Po Box A, Pine Mountain, GA, 318220500.
What is the Pine Mountain Pharmacy, Inc's specialty and taxonomy code?
The Pine Mountain Pharmacy, Inc's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.
On what date did the Pine Mountain Pharmacy, Inc receive the assignment of its 1447280672 from the Centers for Medicare & Medicaid Services?
The Pine Mountain Pharmacy, Inc was issued its 1447280672 by the Centers for Medicare & Medicaid Services on 2006-07-04.
As of what date were the details related to Pine Mountain Pharmacy, Inc most recently updated or revised?
The information pertaining to Pine Mountain Pharmacy, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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