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Canton Northside Pharmacy Inc
Community/Retail Pharmacy in Canton, Georgia
NPI 1861492761

Canton Northside Pharmacy Inc is a Community/Retail Pharmacy based in Canton, GA and is specialized in Community/Retail Pharmacy. Canton Northside Pharmacy Inc practices in Canton, GA. The NPI Number for Canton Northside Pharmacy Inc is 1861492761 and holds a License No. (Georgia).

The current practice location address for Canton Northside Pharmacy Inc is 170 Marietta Hwy, Canton, GA and can be reached out via phone at 770-479-2171 and via fax at 770-720-6006. You can also correspond with Canton Northside Pharmacy Inc through the mailing address at PO BOX 4460, CANTON, GA - 30114-0200 (mailing address contact number: 770-479-2171).

Location: 170 Marietta Hwy, Canton, GA, 30114-0200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861492761
Provider Name
Canton Northside Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
170 Marietta Hwy, Canton, GA, 30114-0200
Phone Number
770-479-2171
Fax Number
770-720-6006
Provider Enumeration Date
07/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00022778A 05 GA
2012090 01 PK
00022778B 05 GA
institution
Provider Business Practice Location Address Details
Address
170 Marietta Hwy
City
Canton
State
Georgia
Zip
30114-2303
Phone Number
770-479-2171
Fax Number
770-720-6006
person
Provider Business Mailing Address Details
Address
Po Box 4460
City
Canton
State
Georgia
Zip
30114-0200
Phone Number
770-479-2171
Fax Number
770-720-6006
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
002901 (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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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