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JERRY WHITE'S PHARMACY INC NPI 1114087541


NPI Information

NPI: 1114087541
Provider Name: JERRY WHITE'S PHARMACY, INC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
3741 HIGHWAY 17
TOCCOA, GA
ZIP 30577
Phone: (706) 886-2662
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JERRY WHITE'S PHARMACY, INC is a community/retail pharmacy pharmacy in Toccoa, 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. JERRY WHITE'S PHARMACY, INC NPI is 1114087541. The provider is registered as an organization entity type.

The provider's business location address is:

3741 HIGHWAY 17
TOCCOA, GA
ZIP 30577-275
Phone: (706) 886-2662
Fax: (706) 886-2867

The provider's authorized official is J Erry White .
The authorized official title is President and has the following contact phone number (706) 886-2662.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 3/7/2023.


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
13336C0003XPharmacyCommunity/Retail PharmacyPHRE007089GEORGIAYes

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
100403686AMEDICAIDGEORGIA

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: 5/5/2024

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