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CPM PHARMACY LLC NPI 1790106458


NPI Information

NPI: 1790106458
Provider Name: CPM PHARMACY LLC

Doing Business As: ADVANCED RX PHARMACY 034

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
3870 MEDICAL PARK DR
AUSTELL, GA
ZIP 30106
Phone: (678) 564-2233
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CPM PHARMACY LLC is a community/retail pharmacy pharmacy in Austell, 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. CPM PHARMACY LLC NPI is 1790106458. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Rx Pharmacy 034.

The provider's business location address is:

3870 MEDICAL PARK DR
AUSTELL, GA
ZIP 30106-110
Phone: (678) 564-2233
Fax: (678) 401-4245

The provider's authorized official is Kati Gainous .
The authorized official title is Pharmacy Program Administrator and has the following contact phone number (925) 621-2900.

The enumeration date for this NPI number is 12/26/2013 and was last updated on 6/11/2015.


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 PharmacyPHRE009976GEORGIAYes

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
12149245OTHERPK

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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