Mcintosh Trail Csb in Griffin - Clinic Pharmacy
Mcintosh Trail Csb - NPI 1932368974
Mcintosh Trail Csb is a Clinic Pharmacy in Griffin, Georgia. Mcintosh Trail Csb practices all healthcare services and medical treatments related to Clinic Pharmacy. The NPI Number for Mcintosh Trail Csb is 1932368974. The last update date is 2008-06-11.
Mcintosh Trail Csb's current location address is 1501a Kalamazoo Dr, Griffin, Georgia. You can contact this provider via phone number 7703588250 and fax number 7702293223. The mailing address for Mcintosh Trail Csb is 1501a Kalamazoo Dr, Griffin, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mcintosh Trail Csb |
|---|---|
| Address | 1501a Kalamazoo Dr, Griffin, Georgia |
| Phone Number | 7703588250 |
| Fax Number | 7702293223 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mccollum Pamela |
| Telephone Number | 7703588251 |
NPI Number Detail
| NPI Number | 1932368974 |
|---|---|
| Provider Enumeration Date | 2008-06-05 |
| Last Updated Date | 2008-06-11 |
Provider Mailing Address Detail
| Address | 1501a Kalamazoo Dr |
|---|---|
| City | Griffin |
| State | Georgia (GA) |
| Post Code | 302243919 |
| Phone Number | 7703588250 |
| Fax Number | 7702293223 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic Pharmacy |
|---|---|
| Taxonomy | 3336C0002X |
| Licence No | PHRE005229 |
|
Definition: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1123645 | GA | NCPDP | |
| 000251666A | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mcintosh Trail Csb?
The Mcintosh Trail Csb has been issued the NPI (National Provider Identifier) 1932368974 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Mcintosh Trail Csb's physical address?
The Mcintosh Trail Csb is physically located at 1501A Kalamazoo Dr, in the city of Griffin, GA, with the postal code 302243919.
What is Mcintosh Trail Csb's area of expertise and its corresponding taxonomy classification?
The Mcintosh Trail Csb's field of specialization is Clinic Pharmacy, and it falls under the taxonomy code 3336C0002X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mcintosh Trail Csb receive the assignment of its 1932368974 from the Centers for Medicare & Medicaid Services?
The Mcintosh Trail Csb was issued its 1932368974 by the Centers for Medicare & Medicaid Services on 2008-06-05.
As of what date was the information regarding Mcintosh Trail Csb, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mcintosh Trail Csb, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-11.