Community Pharmacy, Inc. in Fayetteville - Compounding Pharmacy
Community Pharmacy, Inc. - NPI 1972680361
Community Pharmacy, Inc. is a Compounding Pharmacy in Fayetteville, Georgia. Community Pharmacy, Inc. practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Community Pharmacy, Inc. is 1972680361. The last update date is 2021-06-21.
Community Pharmacy, Inc.'s current location address is 575 Glynn St N, Fayetteville, Georgia. You can contact this provider via phone number 7704613911 and fax number 7704611121. The mailing address for Community Pharmacy, Inc. is 575 Glynn St N, Fayetteville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Pharmacy, Inc. |
|---|---|
| Address | 575 Glynn St N, Fayetteville, Georgia |
| Phone Number | 7704613911 |
| Fax Number | 7704611121 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Balchin W. Ralph |
| Credentials | R.PH. |
| Telephone Number | 7704613911 |
NPI Number Detail
| NPI Number | 1972680361 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2021-06-21 |
Provider Mailing Address Detail
| Address | 575 Glynn St N |
|---|---|
| City | Fayetteville |
| State | Georgia (GA) |
| Post Code | 302141198 |
| Phone Number | 7704613911 |
| Fax Number | 7704611121 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000454638A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Community Pharmacy, Inc. by the Centers for Medicare & Medicaid Services?
The Community Pharmacy, Inc. has been issued the NPI (National Provider Identifier) 1972680361, which 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 Community Pharmacy, Inc. is physically located?
The Community Pharmacy, Inc. is physically situated at the following address: 575 Glynn St N, Fayetteville, GA, 302141198.
What is Community Pharmacy, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Community Pharmacy, Inc.'s specialized field of practice is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0004X.
On what date did the Community Pharmacy, Inc. receive the assignment of its 1972680361 from the Centers for Medicare & Medicaid Services?
The Community Pharmacy, Inc. was issued its 1972680361 by the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date were the details related to Community Pharmacy, Inc. most recently updated or revised?
The information pertaining to Community Pharmacy, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2021-06-21.
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