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POOLES PHARMACY INCORPORATED NPI 1982798476


NPI Information

NPI: 1982798476
Provider Name: POOLES PHARMACY INCORPORATED

Doing Business As: POOLES PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 11D2151397

Address:
660 WHITLOCK AVE NW STE G-1
MARIETTA, GA
ZIP 30064
Phone: (770) 514-1414
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POOLES PHARMACY INCORPORATED is a community/retail pharmacy pharmacy in Marietta, GA. The provider is 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. POOLES PHARMACY INCORPORATED NPI is 1982798476. The provider is registered as an organization entity type.
The provider Is Doing Business As Pooles Pharmacy.

The provider's business location address is:

660 WHITLOCK AVE NW STE G-1
MARIETTA, GA
ZIP 30064-174
Phone: (770) 514-1414
Fax: (770) 514-8300

The provider's authorized official is Sharon Sherrer .
The authorized official title is Pharmacist/owner and has the following contact phone number (770) 514-1414.

The CLIA number assigned to this NPI record is 11D2151397 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 7/5/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPHRE005435GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100860758AMEDICAIDGEORGIA
22020409OTHERPK
34434480001MEDICARE NSC

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: 4/28/2024

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