institution
Midcity Pharmacy
Durable Medical Equipment & Medical Supplies in Canton, Georgia
NPI 1619044914

Midcity Pharmacy is a Durable Medical Equipment & Medical Supplies based in Canton, GA. Midcity Pharmacy practices in Canton, GA. The NPI Number for Midcity Pharmacy is 1619044914 and holds a License No. 8181 (Georgia).

The current practice location address for Midcity Pharmacy is 196 E Main St, Canton, GA and can be reached out via phone at 770-479-5533 and via fax at 770-479-5534.

Location: 196 E Main St, Canton, GA, 30114-2707
institution
Provider Profile Details
NPI Number
1619044914
Provider Name
Midcity Pharmacy
Credential
Provider Entity Type
Organization
Address
196 E Main St, Canton, GA, 30114-2707
Phone Number
770-479-5533
Fax Number
770-479-5534
Provider Enumeration Date
11/29/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00032051B 05 GA
87BBBCS 01 MEDICARE PART B
00032051A 05 GA
1102401 01 GA NABP
institution
Provider Business Practice Location Address Details
Address
196 E Main St
City
State
Zip
30114-2707
Phone Number
770-479-5533
Fax Number
770-479-5534
person
Provider Business Mailing Address Details
Address
196 E Main St
City
State
Zip
30114-2707
Phone Number
770-479-5533
Fax Number
770-479-5534
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
332B00000X ()
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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
8181 (Georgia)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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