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Mcintosh Trail Csb
Clinic Pharmacy in Griffin, Georgia
NPI 1932368974

Mcintosh Trail Csb is a Clinic Pharmacy based in Griffin, GA and is specialized in Clinic Pharmacy. Mcintosh Trail Csb practices in Griffin, GA. The NPI Number for Mcintosh Trail Csb is 1932368974 and holds a License No. PHRE005229 (Georgia).

The current practice location address for Mcintosh Trail Csb is 1501A Kalamazoo Dr, Griffin, GA and can be reached out via phone at 770-358-8250 and via fax at 770-229-3223.

Location: 1501A Kalamazoo Dr, Griffin, GA, 30223-3335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932368974
Provider Name
Mcintosh Trail Csb
Credential
Provider Entity Type
Organization
Address
1501A Kalamazoo Dr, Griffin, GA, 30223-3335
Phone Number
770-358-8250
Fax Number
770-229-3223
Provider Enumeration Date
06/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1123645 01 GA NCPDP
000251666A 05 GA
institution
Provider Business Practice Location Address Details
Address
1501A Kalamazoo Dr
City
Griffin
State
Georgia
Zip
30224-3919
Phone Number
770-358-8250
Fax Number
770-229-3223
person
Provider Business Mailing Address Details
Address
1501A Kalamazoo Dr
City
Griffin
State
Georgia
Zip
30224-3919
Phone Number
770-358-8250
Fax Number
770-229-3223
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
PHRE005229 (Georgia)
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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