EAST MARIETTA DRUG CO INC NPI 1396747580

NPI Information

EAST MARIETTA DRUG CO INC is a pharmacy in Marietta, GA. The provider is 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. EAST MARIETTA DRUG CO INC NPI is 1396747580. The provider is registered as an organization entity type.

The provider's business location address is:

1480 ROSWELL RD
MARIETTA, GA
ZIP 30062-670
Phone: (770) 973-7600
Fax: (770) 973-3032

The provider's authorized official is Pamala Smith Marquess .
The authorized official title is Secretary and has the following contact phone number (770) 973-7600.

The CLIA number assigned to this NPI record is 11D0975972 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 8/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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