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CARTERS PHARMACY GA LLC NPI 1457374837


NPI Information

NPI: 1457374837
Provider Name: CARTERS PHARMACY GA LLC

Doing Business As: CARTERS PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
4015 SOUTH COBB DRIVE
SUITE 130
SMYRNA, GA
ZIP 30080
Phone: (770) 436-5144
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CARTERS PHARMACY GA LLC is a long term care pharmacy pharmacy in Smyrna, GA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. CARTERS PHARMACY GA LLC NPI is 1457374837. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carters Pharmacy.

The provider's business location address is:

4015 SOUTH COBB DRIVE
SUITE 130
SMYRNA, GA
ZIP 30080-315
Phone: (770) 436-5144
Fax: (770) 435-9081

The provider's authorized official is John Thomas Sherrer .
The authorized official title is Owner/pharmacist and has the following contact phone number (770) 436-5144.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 2/29/2024.


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
1183500000XPharmacist002332GEORGIANo
23336L0003XPharmacyLong Term Care PharmacyYes

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
100022866AMEDICAIDGEORGIA

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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