TALLAPOOSA RX LLC NPI 1013575604

NPI Details

TALLAPOOSA RX LLC is a community/retail pharmacy pharmacy in Tallapoosa, 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. TALLAPOOSA RX LLC NPI is 1013575604. The provider is registered as an organization entity type.
The provider Is Doing Business As Tallapoosa Drugs.

The provider's business location address is:

2066 US HIGHWAY 78
TALLAPOOSA, GA
ZIP 30176-368
Phone: (770) 574-2339

The provider's authorized official is Jacob Mouchet .
The authorized official title is Owner and has the following contact phone number (770) 574-2339.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 5/30/2019 and was last updated on 12/21/2020.

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.