MCINTOSH TRAIL CSB NPI 1932368974

NPI Information

  • NPI: 1932368974
  • Provider Name: MCINTOSH TRAIL CSB
  • Classification: Pharmacy - 3336C0002X
  • Specialization: Clinic Pharmacy
  • Entity Type: Organization
  • Doing Business As: BHC PHARMACY
  • Address: 1501A KALAMAZOO DR
    GRIFFIN, GA
    ZIP 30224
  • Phone: (770) 358-8250

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NPI Details

MCINTOSH TRAIL CSB is a clinic pharmacy pharmacy in Griffin, GA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. MCINTOSH TRAIL CSB NPI is 1932368974. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhc Pharmacy.

The provider's business location address is:

1501A KALAMAZOO DR
GRIFFIN, GA
ZIP 30224-919
Phone: (770) 358-8250
Fax: (770) 229-3223

The provider's authorized official is Pamela Mccollum .
The authorized official title is Executive Director and has the following contact phone number (770) 358-8251.

The enumeration date for this NPI number is 6/5/2008 and was last updated on 6/11/2008.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0002XPharmacyClinic PharmacyPHRE005229GEORGIAYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11123645OTHERGEORGIANCPDP
2000251666AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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