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MCINTYREPHARMACY LLC DBA GLENWOOD PHARMACY NPI 1720113939


NPI Information

NPI: 1720113939
Provider Name: MCINTYREPHARMACY LLC DBA GLENWOOD PHARMACY
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
114 E 2ND AVE
GLENWOOD, GA
ZIP 30428
Phone: (912) 523-5094
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MCINTYREPHARMACY LLC DBA GLENWOOD PHARMACY is a community/retail pharmacy pharmacy in Glenwood, 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. MCINTYREPHARMACY LLC DBA GLENWOOD PHARMACY NPI is 1720113939. The provider is registered as an organization entity type.

The provider's business location address is:

114 E 2ND AVE
GLENWOOD, GA
ZIP 30428
Phone: (912) 523-5094
Fax: (912) 523-5137

The provider's authorized official is Ricky Mcintyre .
The authorized official title is Owner and has the following contact phone number (912) 523-5094.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 6/17/2008.


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
13336C0003XPharmacyCommunity/Retail PharmacyPHRE008052GEORGIAYes

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
15938460001MEDICARE NSCGEORGIA
2000815712AMEDICAIDGEORGIA

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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