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CHICKAMAUGA DRUG STORE LLC NPI 1821131996


NPI Information

NPI: 1821131996
Provider Name: CHICKAMAUGA DRUG STORE, LLC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
114 COVE RD
CHICKAMAUGA, GA
ZIP 30707
Phone: (706) 375-2611
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CHICKAMAUGA DRUG STORE, LLC is a community/retail pharmacy pharmacy in Chickamauga, 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. CHICKAMAUGA DRUG STORE, LLC NPI is 1821131996. The provider is registered as an organization entity type.

The provider's business location address is:

114 COVE RD
CHICKAMAUGA, GA
ZIP 30707-407
Phone: (706) 375-2611
Fax: (706) 375-6219

The provider's authorized official is Phillip Talley .
The authorized official title is Chief Manager and has the following contact phone number (706) 375-2611.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 8/13/2010.


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 PharmacyPHRE005365GEORGIAYes

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
16303500001MEDICARE NSCGEORGIA
200024582AMEDICAIDGEORGIA

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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